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HomeMy WebLinkAboutMiscellaneous - 1820 TURNPIKE STREET 4/30/2018 (5)00 N OD N C Z D CD m -u Q. O C n W FTI -oma tnv z co m x m i M CD °1 0 v' 0 N O L-� ti W I ti t w I I I W I w 0 I I I a u C x L O O x a 0 �y A h A WW Q 'a a wa L o a p o d � � L M w A � 0 .a 7 v r v 0 .i A O L N o `O C za �C � L N � a V1 U w ey ::p4j4 Chi ' Hx'xww d O Q x n c � U � � d x3aw � y C O y � W � a. U V Ld � Q a �+ A N A 7 N d � 00 cn O L �aaraa° •�' V � z, 000'�I I ! 1 ci w 0 a u C L O O x a 0 �y A h A WW .fl o a p o d � � L M w A � 0 .a 7 v r v 0 A O N o `O za �C � L N � a V1 U w ey ::p4j4 Chi d O Q x n c U � � d � y y a. 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N I I N I O m co Cl 0 00 m X :- U- m aoi z L r` cl� c rn H N — v ti � FL a � i C `O c T- 2 U i � Y c a) � o- � I L U m v I vlOi' z 'zj0 :z C? o Q r) N } N W l O fn SIN „i I� 'ylrl �+ E j C a V 2 F Q O ' U O u Z fn cnrz N > ZI I W w IQ U IC I.C.. m E aoi z L T 0 0 O ZZ N FL c 0 T- 2 U- - o d 0 L � o- 0 0 C L U m Q c U E O Q r) N } N T fn Y > o �+ E j C a V 2 F Q ii a) U O u Z fn cnrz N CERAMAGUARD° FIVE FISSURED TM/ CERAMAGUARD Square Lay -in - 10 -YEAR Items Availability 005, medium texture 607,608 &1710IN 1; P a qd "i � • o dr ' P4 { Ceramaguard with PreludeA Plus XL1 Fire Guard- 15/16" Environmental Tee grid Visual Selection Key Selection Attributes • Totally inorganic product. Resistant to the growth of mold, mildew, and bacteria • Durable — Washable, Scrubbable, Soil -resistant (unperforated) • 30 -Year Limited System Warranty against visible sag, mold/mildew, and bacterial growth • Resistance to chemical fumes • Non -directional visual reduces installation time and scrap Typical Applications Color • Laboratories • Locker rooms / indoor pools • Hydrotherapy / shower areas white (WH) • Food preparation areas (unperforated only) • Exterior soffits / canopies • Indoor parking garages • Marine use (See note under "Application Considerations") P e r f o r m a n c e S e I e c t i o n Dots represent highest level of performance. .............._........... .... .......__........................ -............ ,.........._.-...._............. ........._............. . ' Plain pattern (unperforated) is not appropriate where aesthetics or visual consistency is important. Suspension Systems 15/16" Standard: Prelude, AL Prelude Plus, SS Prelude Plus, Prelude XL for Exterior Applications Fire Guard: Prelude XL Fire Guard, Prelude Plus XL Fire Guard Physical Data Material Ceramic and mineral fiber composite Surface Finish Scrubbable factory -applied plastic finish Fire Performance ASTM E84 and CAN/ULC 5102 surface burning characteristics. Flame Spread Index 25 or less. Smoke Developed Index 50 or less. (UL labeled) Fire Guard: A fire resistive ceiling when used in applicable UL assemblies ASTM E1264 Classification Type XX (high density ceramic -like composition with scrubbable finish) Pattern C E (items 607, 608); Pattern G (item 605) Fire Class A TechLine" / 1 877 ARMSTRONG 1 877 276 7876 Sag Resistance HumiGuard^ Max — superior resistance to sagging in high humidity conditions including standing water and outdoor applications. No -Added Formaldehyde No -added formaldehyde — free of formaldehyde -based resins. Outperforms CHPS Section 01350 requirements. (Independent test reports available upon request.) Anti Mold/Mildew & Bacteria Totally inorganic product. Resistant to the growth of mold, mildew, and bacteria. Insulation Value R Factor — 1.4 (BTU units) R Factor — 0.25 (Watts units) Backloading Recommendation Contact TechLine for specific information 30 -Year Performance Guarantee & Warranty Information See warranty details at armstrong.com/warranty Application Considerations For outdoor soffits and canopies, wind uplift should be considered. Ceramaguard FINE FISSURED is noncombustible per ASTM E136 and ISO 1182. See USCG Approval 164.109/52/0 for marine applications in all waters. Weight; Square Feet/Carton 605, 608 — 1.52 lbs/SF; 48 SF/ctn 607 — 1.48 lbs/SF; 48 SF/ctn armstrong.com/ceilings LEEP is a registered trademark of the U.S. Green Building Council (search: ceramaguard) All other trademarks used herein are the property of AWI Licensing Company and/or its affiliates CS -3224-610 0 2010 AWI Licensing Company • Printed in the United States of America �mstrong- '�`ul Ul Classified Acoustics Fire Light —Sag Anti- VOC Durable Recycle Edge Item Dimensions NRC CAC Rating Reflect Resist Microbial Formal- Program Profile Na.SEE � dehyde ': CERAMAGUARD FINE FISSURED — Perforated 15/16" 607 2' x 2' x 5/8" ❑ 0.55 38 Fire Guard 0.82 HumiGuard Max Inherent No Added Wash Yes Square Lay -in 607M 600 x 600 x 15mm ..... .. .......... _......... .e........... .... ........... ....... ....... ........... .. ...._.._........... 608 ......... ... ... 2' x 4' x 5/8" .. ......... 0 0.55 40 Fire Guard 0.82 o... No Added 608M' 600 x 1200 x 15mm CERAMAGUARD — Unperforated' 15/16" 605 2' x 4' x 5/8" Q N/A 40 Fire Guard 0.88 No Added wash Scrub soil Square Lay -in 605M 600 x 1200 x 15mm .............._........... .... .......__........................ -............ ,.........._.-...._............. ........._............. . ' Plain pattern (unperforated) is not appropriate where aesthetics or visual consistency is important. Suspension Systems 15/16" Standard: Prelude, AL Prelude Plus, SS Prelude Plus, Prelude XL for Exterior Applications Fire Guard: Prelude XL Fire Guard, Prelude Plus XL Fire Guard Physical Data Material Ceramic and mineral fiber composite Surface Finish Scrubbable factory -applied plastic finish Fire Performance ASTM E84 and CAN/ULC 5102 surface burning characteristics. Flame Spread Index 25 or less. Smoke Developed Index 50 or less. (UL labeled) Fire Guard: A fire resistive ceiling when used in applicable UL assemblies ASTM E1264 Classification Type XX (high density ceramic -like composition with scrubbable finish) Pattern C E (items 607, 608); Pattern G (item 605) Fire Class A TechLine" / 1 877 ARMSTRONG 1 877 276 7876 Sag Resistance HumiGuard^ Max — superior resistance to sagging in high humidity conditions including standing water and outdoor applications. No -Added Formaldehyde No -added formaldehyde — free of formaldehyde -based resins. Outperforms CHPS Section 01350 requirements. (Independent test reports available upon request.) Anti Mold/Mildew & Bacteria Totally inorganic product. Resistant to the growth of mold, mildew, and bacteria. Insulation Value R Factor — 1.4 (BTU units) R Factor — 0.25 (Watts units) Backloading Recommendation Contact TechLine for specific information 30 -Year Performance Guarantee & Warranty Information See warranty details at armstrong.com/warranty Application Considerations For outdoor soffits and canopies, wind uplift should be considered. Ceramaguard FINE FISSURED is noncombustible per ASTM E136 and ISO 1182. See USCG Approval 164.109/52/0 for marine applications in all waters. Weight; Square Feet/Carton 605, 608 — 1.52 lbs/SF; 48 SF/ctn 607 — 1.48 lbs/SF; 48 SF/ctn armstrong.com/ceilings LEEP is a registered trademark of the U.S. Green Building Council (search: ceramaguard) All other trademarks used herein are the property of AWI Licensing Company and/or its affiliates CS -3224-610 0 2010 AWI Licensing Company • Printed in the United States of America �mstrong- Spectrum Adult Day Health 1820 Turnpike St. North Andover, MA 01845 REde-11! r Z' --2j10 TOWN OF NORTH HEALTH DEP,gRTMENTER 1) The finish schedule does not appear to have any changes. You indicated "see attached". Please comment. • Splash zones to be FRP. See attached. • Ceilings over food service areas will be Ceramaguard. See attached. • . Coving will be vinyl curved base. 2) Page 13 "plumbing connections" is not dependent on the Dec. 16th meeting. Please have plumber initial as noted. • General Contractor to initiate request with plumber. 3) We acknowledge the policy to have only staff members in the kitchen "during food service". Our initial discussion expounded on that and include ways to prohibit access by patients during that time. I understand a new plan is forthcoming. Will the new plan show any physical barriers towards that end? • Physical barriers will not be used as they pose a falls risk to Members. Instead, the kitchen will be physically monitored by staff members at all times. 4) Will there be signage about the policy? • No, signage about the policy will not be posted as this would interfere with the clinical environment in the program. Instead, all staff members will undergo training regarding kitchen policy and safety and corresponding documentation will be maintained. Spectrum Adult Day Health 1820 Turnpike St. North Andover, MA 01845 0 fl r C-. , � f} 2WO TOWN OF NORTH ANDOVER HEALTH n MENT Items of Deficiency noted in plan review I Code ref. I Corrective Action Plan does not address the issue of the free flowing of 2- Please address clients into the kitchen area during food service. 103.11(B) Health concerns There is also no description of how the food in the regarding the refrigerators and cabinets is protected from allowance of unauthorized persons in the "participatory" style "unnecessary kitchen. Code states Persons unnecessary to the food persons" in the area preparation, storage or warewashing areas during food service. establishment operation are not allowed in the food Also, please address areas except for brief tours etc. the allowance of free access of clients to all cabinets, utensils, refrigeration and cooking equipment etc. • Spectrum maintains a staffing ratio of one staff person for every four members attending the program and, as such, members are under constant supervision. • It is policy that no member is left unattended in any area of the program. • Only staff members are allowed in the kitchen area during food service. • Safety equipment will be installed in cabinets containing utensils and any other items of concern, as well as the stove to assure members' personal safety (see attached). Page 6 #4 description does not fully follow state 590.003 The Highly food code recommendations "Any staff member (D) (3) (a) susceptible showing signs of illness will not be allowed to serve populations require food to program members". Please review policy for exclusions in certain sick workers. cases. Please submit a sick policy noting this. • See attached policy Page 7 #5 a multi surface cleaner cannot be used on food FC4- Identify type of contact surfaces. The food code allows for bleach, 501.114 sanitizer and change quaternary ammonia or iodine to be used. Also a test kit test strips to "yes" for the chosen sanitizer must be on site at all times. service, heat/chill as required. All surfaces sanitized before and after service. compliance with this • Oasis 146 quaternary ammonia with test strips • Answer amended Page 7 description of cleaning and sanitizer is FC 3- Please elaborate on incomplete. "food -service grade sanitizer" This statement 801.11 process does not describe a procedure populations require • All utensils sanitized before and after service. Monitor meal temperatures before service, heat/chill as required. All surfaces sanitized before and after service. Page 7 #8 minimizing length of time PHF's are in the No action needed danger zone Answer should describe process ie. that hot foods will arrive and be tested. If temp is not above 140 either the food will be reheated to 165 degrees or served immediately. If cold foods arrive not less than 41 degrees, they will be served immediately or cooled immediately. Page 8 412 measures taken listed do not indicate level of FC 3- The Highly care for high risk populations. ie. no re -service of 801.11 susceptible unopened packages such as butter, ketchup, creamers populations require etc. compliance with this section. Please review and revise answer • _ Answer revised Page 10 finish schedule not specific as requested on form. FC Ie. all splash zones are not washable durable surfaces. chapter 6 Ceilings over food service areas are not washable tiles. Coving not stated as curved base, usually vinyl. The ware washing area is the area around the 3 bay sink It is not N/A • See Attached Page 13 requests the plumbing boxes be initialed. Often the plumber can complete this for the applicant if you are not sure. This is a confirmation only. Please dire+ with i T f Page 15 #29 no grease trap. The plumbing code may or Plumbin, may not require one with the three -bay sink. Please code . tnat inspector confirm with plumbing inspector , uoes not require a I • Issue to be taken un at December 16"' Board Meeting I MSDS sheets are not submitted with application. If all FC 4- 302.14 Please submit copies chemicals are not chosen to date, please submit when 4-301.12 for our files able (D)(1) three -bay or submit a • See Attached MSDS sheet Page 18 — NO checked on test strips FC 4- 302.14 Please change to yes • Adjustment made Equipment No three bay sink. Only 2 -bay shown. We concur with 4-301.12 Please revise as a Sullivan Eng. That the MA Code allows for 2 bay if (D)(1) three -bay or submit a allowed. This allowance can be approved by variance by request in writing to the Board of Health, if when presented, the Board deems address the BOH at a it appropriate for this application. scheduled mtg. 0 Issue to be taken up at December 16 1h Board Meeting Dish machine spec sheet says either hot water with booster or chemical. -7 Please specify machine type • Dish machine with hot water booster Location of handsink may not be accessible by all parties 5203.11 Provide safety and in the kitchen. Possible safety issue. Located very close Please adequate hand wash to stove. check facility with submit specification building sheets • Sinks to be determined dept • Hand sink location relocated • See attached Microwave installation instructions submitted. No unit specifications found in packet. Please submit spec sheets for NSF UL rated equipment If a vent is provided, no vent information Please Please inform Health check with details with submit specification building sheets • Sinks to be determined dept. • Maytag Microwave hood combination Model Number MMV5208W • Unit is both a microwave and vent combination • See attached information No specification sheets for sinks. NA includes sinks in the category of equipment Please submit specification sheets • Sinks to be determined DelleChiaie, Pamela From: Sent: To: Cc: Subject: Attachments: Follow Up Flag: Flag Status: December 9, 2010 PRINTED BY: Pamela DelleChiaie - PLEASE LEAVE IN PRINT-OUT TRAY....... THANK YOU. DelleChiaie, Pamela Thursday, December 09, 2010 3:49 PM Paul Raia Ph. D. (paul.raia@alz.org) Darcey Adams (dladams@nhs-healthlink.org); Bellavance, Curt; 'Michael J. Moore, R.S.'; Edwin C. Pease; Francis P. MacMillan, Jr. (fpmacmillan@comcast.net); Joseph McCarthy Qoemccvam@comcast.net); Larry Fixler(Ifboardofhealthnorthandover@yahoo.com); Thomas Trowbridge (tat.boh@comcast.net) Spectrum North Andover - adult day care specializing in dementia care - December 9, 2010 20101209152145473 Follow up Flagged Attached is a letter issued today from Susan Sawyer, Public Health Director for the Town of North Andover regarding the proposed Spectrum Adult Day Center, specializing in'dementia care at 1820 Turnpike Street in North Andover. Northeast Senior Health is scheduled to appear before the Board of Health on Thursday, December 16`h. Please contact our office if you have any questions. Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 I Suite 2-36 North Andover, MA o1845 2 Office - 978-688-9540 Fax -978-688-8476 (] Email - pdellechiaieotownofnorthandover.com Website b=://www.townofiiorthandover.com/Pages/index "We can never seethe path of our life if we are too busy focusing on the pebbles under our feet. "--Anonymous I OF I DelleChiaie, Pamela North Andover Health Department (ommunity Development Division Paul Raia, Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arsenal Street Watertown, Massachusetts 02472 RE: Spectrum North Andover — adult day care specializing in dementia care Dear Dr. Raia: The North Andover Health Department has received your letter of support in regards to the new adult day care facility to be located at 1820 Turnpike Street. This office greatly appreciates your participation in this process and your explanation of the approach called "Habilitation Therapy"; however there are a few specific discussion points I would like to ask your thoughts on. The Northeast Senior Health proposal for the facility included an application to the Health Department for a "food establishment" permit. An annual permit is required by the local health department according to the definition of the State of Mass. Food code; 105 CMR 590.002, "a food establishment means an operation that stores, prepares, packages, seines, vents or otherwise provides food for human consumption". The Health Department's purview, in evaluating the food establishment application, is solely to ensure that safe food is provided to the consumer utilizing the state code parameters. The subject of my inquiry only pertains to the food service area and the time of food serving itself. This type of kitchen is considered a satellite facility, and generally in such cases the following steps occur for the main meal times. 1) Hot and cold foods are transferred daily from a licensed food establishment to the daycare generally in bulk temperature controlled containers. (The source and times for transfer are unknown at this time) 2) At the daycare, using a metal stemmed thermometer, the staff is responsible to check the food's internal temperatures and condition received in. The staff document that the hot food is over 140 degrees and the cold is less than 41 degrees. These temperatures are important, as they deter microbial growth that causes foodborne illness. If not acceptable, the food will be reheated or cooled as needed. Any unacceptable items would be placed aside and meal substitutes may be determined at this time. 3) When serving time draws near, the staff will set up the service area with clean and sanitized utensils. Plates of food that meet the state nutritional guidelines will be made available to the patients for consumption. 4) After service the food service area would be cleaned and sanitized with an approved sanitizer; most often chlorine at a 100ppm solution. Areas and utensils are left to air dry.. 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 fax 918.688.8416 Web www.fowoofnorthandover.com 5) The staff will ensure all condiments served to a high susceptible population will be discarded and not be reused per state code requirement. 6) Items to be returned to the licensed kitchen will be packed up for transfer. The second type of food service anticipated would be in the service of foods kept on the premise such as; breakfast or snack items. This likely will include a variety of cut fruits, cereals, breads and beverages; including milk and juices. These items require daily preparation, storage and rotation by staff to ensure quality. Items found out of date or adulterated would be discarded. As one can see, the time devoted to food service could be as little as one to two hours in a day, but it is no less important. As you described in your letter dated November 8, 2010, the daycare environment provides numerous opportunities and activities that "should be adult -like, failure free, familiar, convey a sense of purpose and provide ongoing practice with the person's remaining capacities". Though it may be only an hour a day, we are talking about being responsible for protection against foodborne illness for 50 plus high risk patients. The Health Department is looking for success in all areas. Serving safe food and providing the proper Habilitation therapeutic environment, are goals that can be met with compromise. We are suggesting that safety rules are as important in a home like environment, as well as full access to learning. Therefore, safety must be included in the daily structure, or the goal of "failure free" therapy could be in jeopardy. Ideally a separate therapeutic participatory kitchen could be incorporated into the plan design, but without that hard lined requirement, the Health Department's proposal is to compromise to allow the following: 1) Full access of the kitchen area, to the patients, at all times that food service is not in operation. Access restricted in some way during service and preparation times. 2) Full access to any cabinet that contains items used only for training such as bowls and utensils except service times. All other cabinets are to be locked during non-food service times. The question is; after review of this letter, do you feel, or have evidence to the effect, that having these two restrictions noted above would inhibit the habilitation environment so immensely, that food safety guidelines should not be followed in the case of this adult day care? This matter will be heard by the Board of Health on December 16, 2010. I would appreciate your comments on these compromises proposed, as it is my job to advise the Board of Health members. Thank you for your thoughts in this matter. Z ,'lmmy r Health Director Attachment: November 8n' letter copy: BOH members Darcey Adams, L.I.C.S.W. Curt Bellavance, Community Dev, Director Michael J. Moore, R.S., MDPH/BEH Food Protection Program 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthundover.com wvvw.alz.orU/MANH 1 strongly urge that the kitchen be considered one of the many therapeutic tools that are essential in our work with 413 787 1109 f 800 272 3900 with therapeutic kitchens. 1 would encourage you to look at similar programs in assisted living and adult day programs New Hantpsllre in the Merrimack Valley area to see how these kitchens are used. alzheimer's association" I would be happy to talk with you further on this matter. November 8, 2010 Sincerely, Massachusetts/ Mr. Gerald Brown New Hampshire Chapter Building Inspector City Hall 311 Arsenal Street North Andover, MA Watertown, Massachusetts 02472 Dear Mr. Brown, 617 868 0118 p 617 868 6720 f 1 am writing to support Northeast Senior I lealth's plan for an Adult Day health Program specializing in dementia care in North Andover. REGIONAL OFFICES: As Vice President of Clinical Services for the Alzheimer's Association Massachusetts and New Hampshire Chapter and as a clinical gerontologist specializing in Alzheimer's disease for more than thirty years, l have seen first hand the Southeastern Mass multiple benefits of adult day health programs for Alzheimer's patients, their family caregivcrs and the health care Cape Cod & the Islands system. Current research on this topic indicates that adult day programs are treatment centers. With structured Village South Plaza activities-progrmnming well designed programs can prevent many of the symptoms associated with Alzheimer's disease 473 South Street West and, they may even, slow the rate of decline, allowing patients to remain in the community longer. Unit 13 The algorithm for this treatment effect involves several key elements: staff training; prosthetic design of the Raynham, MA 02767 environment; cognitive training; exercise; diel; purposeful engagement and socialization. Many adult day health 508 880 0055 is programs in Massachusetts, Northeast Senior Health most notably among than, follow a treatment strategy that I and 508 880 0056 1 others have developed called "I labilitation Therapy". ']'his approach focuses on bringing about and maintaining positive emotions in patients over the course of the day. Central Mass Tile activities program is the motor (fiat drives this treatment approach. The activities should be adult -like, failure free, 128 Providence Street familiar, convey a sense of purpose and provide ongoing practice with the person's remaining capacities. Worcester, Massachusetts 01604 Design features should include a home -like environment, space to wander, color cueing that promotes independence, 508 799 2386 p enhanced lighting and other features that cause positive emotions. A participatory kitchen plays a key role in the 508 799 2653 1 therapeutic ohicctives for many adult day health patients. Punt of all, the kitchen is an iconic symbol of home, it is where people gather naturally, it conveys a sense of safety and in this sense it contributes to the positive emotions of clients. In another way, the kitchen gives homemakers a familiar arena where they can use "hard wired" cognitive skills Western Mass that relate to their role nurturers which gives them a sense of purposefulness. Keep in mind, the participatory kitchen is 264 Cottage Street not where food is prepared for consumption and not be thought of in that sense. The kitchen in this sense is a stage set Springfield, Massachusetts where adult day clients can continue to play a role, and that is part of our therapeutic aim. 01104 413 7871113 p 1 strongly urge that the kitchen be considered one of the many therapeutic tools that are essential in our work with 413 787 1109 f dementia patients. Indeed, in my many years doing this work, I have helped to design dozens of adult day programs with therapeutic kitchens. 1 would encourage you to look at similar programs in assisted living and adult day programs New Hantpsllre in the Merrimack Valley area to see how these kitchens are used. One Bedford farms Drive Suite 105 I would be happy to talk with you further on this matter. Bedford, New Hampshire Sincerely, 03110 603 606 6590 p 603 606 6803 1 Paul Raia, Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arseuaf Street Watertown, Massachusetts 02472 617 868-6718 the compassion to care, the leadership to conquer DelleChiaie, Pamela From: Sent: To: Cc: Subject: Attachments: Follow Up Flag: Flag Status: December 9, 2010 PRINTED BY: Pamela DelleChiaie - PLEASE LEAVE IN PRINT-OUT TRAY....... THANK YOU. DelleChiaie, Pamela Thursday, December 09, 2010 3:49 PM Paul Raia Ph. D. (paul.raia@alz.org) Darcey Adams (diadams@nhs-healthlink.org); Bellavance, Curt; 'Michael J. Moore, R.S.'; Edwin C. Pease; Francis P. MacMillan, Jr. (fpmacm i Ilan @comcast. net); Joseph McCarthy ooemccvam@comcast.net); Larry Fixler(Ifboardofhealthnorthandover@yahoo.com); Thomas Trowbridge (tat.boh@comcast.net) Spectrum North Andover - adult day care specializing in dementia care - December 9, 2010 20101209152145473 Follow up Flagged Attached is a letter issued today from Susan Sawyer, Public Health Director for the Town of North Andover regarding the proposed Spectrum Adult Day Center, specializing in dementia care at 1820 Turnpike Street in North Andover. Northeast Senior Health is scheduled to appear before the Board of Health on Thursday, December 16th. Please contact our office if you have any questions. Me Refd%4, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover, MA o1845 2 Office - 978-688-9540 Fax -978-688-8476 D Email - pdellechiaieotownofnorthandover.com Website http://www.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet. "— Anonymous I OF I DelleChiaie, Pamela North Andover Health Department (ommunity Development Division Paul Raia, Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arsenal Street Watertown, Massachusetts 02472 RE: Spectrum North Andover — adult day care specializing in dementia care Dear Dr. Raia: The North Andover Health Department has received your letter of support in regards to the new adult day care facility to be located at 1820 Turnpike Street. This office greatly appreciates your participation in this process and your explanation of the approach called "Habilitation Therapy"; however there are a few specific discussion points I would like to ask your thoughts on. The Northeast Senior Health proposal for the facility included an application to the Health Department for a "food establishment" permit. An annual permit is required by the local health department according to the definition of the State of Mass. Food code; 105 CMR 590.002, "a food establishment means an operation that stores, prepares, packages, serves, vents or otherwise provides food for human consumption". The Health Department's purview, in evaluating the food establishment application, is solely to ensure that safe food is provided to the consumer utilizing the state code parameters. The subject of my inquiry only pertains to the food service area and the time of food serving itself. This type of kitchen is considered a satellite facility, and generally in such cases the following steps occur for the main meal times. 1) Hot and cold foods are transferred daily from a licensed food establishment to the daycare generally in bulk temperature controlled containers. (The source and times for transfer are unknown at this time) 2) At the daycare, using a metal stemmed thermometer, the staff is responsible to check the food's internal temperatures and condition received in. The staff document that the hot food is over 140 degrees and the cold is less than 41 degrees. These temperatures are important, as they deter microbial growth that causes foodborne illness. If not acceptable, the food will be reheated or cooled as needed. Any unacceptable items would be placed aside and meal substitutes may be determined at this time. 3) When serving time draws near, the staff will set up the service area with clean and sanitized utensils. Plates of food that meet the state nutritional guidelines will be made available to the patients for consumption. 4) After service the food service area would be cleaned and sanitized with an approved sanitizer; most often chlorine at a 100ppm solution. Areas and utensils are left to air dry.. 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.towoofnorthondover.com 5) The staff will ensure all condiments served to a high susceptible population will be discarded and not be reused per state code requirement. 6) Items to be returned to the licensed kitchen will be packed up for transfer. The second type of food sei vice anticipated would be in the service of foods kept on the premise such as; breakfast or snack items. This likely will include a variety of cut fruits, cereals, breads and beverages; including milk and juices. These items require daily preparation, storage and rotation by staff to ensure quality. Items found out of date or adulterated would be discarded. As one can see, the time devoted to food service could be as little as one to two hours in a day, but it is no less important. As you described in your letter dated November 8, 2010, the daycare environment provides numerous opportunities and activities that "should be adult -like, failure free, familiar, convey a sense of purpose and provide ongoing practice with the person's remaining capacities". Though it may be only an hour a day, we are talking about being responsible for protection against foodborne illness for 50 plus high risk patients. The Health Department is looking for success in all areas. Serving safe food and providing the proper Habilitation therapeutic environment, are goals that can be met with compromise. We are suggesting that safety rules are as important in a home like environment, as well as full access to learning. Therefore, safety must be included in the daily structure, or the goal of "failure flee" therapy could be in jeopardy. Ideally a separate therapeutic participatory kitchen could be incorporated into the plan design, but without that hard lined requirement, the Health Department's proposal is to compromise to allow the following: 1) Full access of the kitchen area, to the patients, at all times that food service is not in operation. Access restricted in some way during service and preparation times. 2) Full access to any cabinet that contains items used only for training such as bowls and utensils except service times. All other cabinets are to be locked during non-food service times. The question is; after review of this letter, do you feel, or have evidence to the effect, that having these two restrictions noted above would inhibit the habilitation environment so immensely, that food safety guidelines should not be followed in the case of this adult day care? This matter will be heard by the Board of Health on December 16, 2010. I would appreciate your comments on these compromises proposed, as it is my job to advise the Board of Health members. Thank you for your thoughts in this matter. Sinc , usan Sammy r Health Director Attachment: November 8"' letter copy: BOH members Darcey Adams, L.I.C.S.W. Curt Bellavance, Community Dev. Director Michael J. Moore, R.S., MDPH/BEH Food Protection Program 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 Fox 918.688.8416 Pleb www.townofnorthandover.com www.alz.org/MANN eM 272 3900 alzheimer's associatim November 8, 2010 Massachusetts/ Mr. Gerald Brown Building Inspector New Hampshire Chapter City Hall 311 Arsenal Street Watertown, Massachusetts North Andover, MA 02472 Dear Mr. Brown, 617 868 6718 p 617 868 67201 1 ani writing to support Northeast Senior i Iealth's plan for all Adult Day i lealth Program specializing in dementia care in North Andover. REGIONAL OFFICES: As Vice President of Clinical Services for the Alzheimer's Association Massachusetts and New Hampshire Chapter and as a clinical gerontologist specializing in Alzheimer's disease for more than thirty years, 1 have seen first hand the Southeastern Mass multiple benefits of adult day health programs for Alzheimer's patients, their family caregivers and the health care Cape Cod & the Islands system. Current research on this topic indicates that adult day programs are treatment centers. With structured Village South Plaza activities -programming well designed programs can prevent many of the symptoms associated with Alzheimer's disease 473 South Street West and, they may even, slow the rate of decline, allowing patients to remain in the community longer.. Unit 13 Rainham, MA 02167 The algorithm for this treatment effect involves several key elements: staff training; prosthetic design of the environment; cognitive training; exercise; diel; purposeful engagement and socialization. Many adult day health 508 880 0055 it programs in Massachusetts, Northeast Senior Health most notably among them, follow a treatment strategy that I and 508 880 0056 1 others have developed called "I labilitation Therapy". This approach focuses on bringing about and maintaining positive emotions in patients over the course of the day. Central Mass The activities prograni is the motor that drives this treatment approach. The activities should be adult -like, failure free, 128 Providence Street familiar, convey a sense of purpose and provide ongoing practice with the person's remaining capacities. Worcester, Massachusetts 01604 Design features should include a hone -like environment, space to wander, color cueing that promotes independence, 508 799 2386 p enhanced lighting and other features that cause positive emotions. A participatory kitchen plays a key role in the 508 799 2653 i therapeutic obiectives for many adult day health patients. First of all, the kitchen is an iconic symbol of home, it is where people gather naturally, it conveys a Sense of safety and in this sense it contributes to the positive emotions of clients. In another way, the kitchen gives homemakers a familiar arena where they can use "hard wired" cognitive skills Western Mass that relate to their role nurturers which gives them a sense of purposefiulness. Keep in mind, the participatory kitchen is 264 Cottage Street not where food is prepared for consumption and not be thought of in that sense. The kitchen in this sense is a stage set Springfield, Massachusetts where adult day clients can continue to play a role, and that is part of our therapeutic aim. 01104 413 787 1113 is I strongly urge that the kitchen be considered one of the niany therapeutic tools that are essential in our work with 413 787 1109 1 dementia patients. Indeed, in my many years doing this work, l have helped to design dozens of adult day programs with Therapeutic kitchens. I would encourage you to look at similar programs in assisted living and adult day programs New Hampshire in the Merrimack Valley arca to see flow these kitchens are used. One Bedford farms Drive I would be happy to talk with you further on this matter. Suite 105 Bedford, New Hampshire Sincerely, 03110 603 606 6590 p 603 606 0803 i Paul Raia, Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arsenal Street Watertown, Massachusetts 02472 617 868-6718 the compassion to care, the leadership to conquer North Andover Board of Health Meeting Minutes THURSDAY, November 18, 2010 7:00 p.m. 120 Main Street Selectmen's Meeting Room North Andover, MA 01845 Present: Thomas Trowbridge, Larry Fixler, Jr., Joe McCarthy, Frank MacMillan, Jr. Also present was Susan Sawyer, Michele Grant and Debra Rillahan I. CALL TO ORDER The meeting was called to order by Dr. Trowbridge at 7:01 p.m. II. PUBLIC HEARINGS No public Hearings �✓ 111999��� III. APPROVAL OF MINUTES All minutes approved as written and signed by Secretary Larry Fixlfp� A. May 27, 2010 Minutes to be presented for signature /�c�, �/ I- B. June 24, 2010 Minutes to be presented for signature / C. July 8, 2010 Minutes to be presented for signature D. July 22, 2010 Minutes to be presented for signature E. October 25, 2010 Minutes to be presented for signature v IV. OLD BUSINESS A. Food Storage Areas - Local Regulation - regarding standards for food storage areas (no attachments needed -prior information provided) The North Andover BOH Food addendum regulation was discussed. This proposal has been around for over a year and final action should be taken for or against the issue. Dr. Trowbridge discussed the draft version, with changes, submitted for review by Joe McCarthy. Dr. Trowbridge supported some of the ideas and discussion ensued. Mr. McCarthy took the floor to address his personal question as to the need for the additional regulation, as he feels that there seems to be adequate state and federal guidelines and regulation of storage of food. He suggests it could be a burden on food establishments, feels the layers of government are to excess and is not convinced of the need. The staff and other Board members entered into discussion as to the past issues that brought this gap in the code to light in this town. Most are aware of why the direction to construct such a regulation was given to the Health Director and understand the risks of having as a regular all day practice to; have to exit a building to retrieve food from a storage facility, walk or roll carts through snow and puddles etc. back and forth through a parking lot into a clean kitchen and the additional opportunities for vandalism and security concerns if the facility was left unlocked. Several years. ago the Board found that the state and federal regulations were not sufficient in a couple of extreme situations. Thus the board could not legally or fully deny practices that they felt were unsafe for the public. The State Dept of Public Health was questioned whether the rules prohibited such things as; keeping food in a trailer or not having the food storage structure attached to a building. They responded by telling the Board that these things were not specifically called out in the regulation, though they agreed with the premise of the Boards concerns. They replied that it is the Board's right, and purview, to identify local needs that may not be addressed in the codes and to implement local regulations. Novem6er 18, 2010 North Andover Board of Health Meeting — Meeting Minutes Page 1 of 2 Note: The Board of Health reserves the right to take items out of order and to discuss and/or vote on items that are not listed on the agenda. Board of Health Members: Thomas Trowbridge, DDS, MD, Chairman, Larry Fixler, Member/Clerk, Anne Brennan, Member, Joseph McCarthy, Member, Francis P. MacMillan, Jr., M.D., Health Department Staff: Susan Sawyer, Health Director; Debra Rillahan, Public Health Nurse; Michele Grant, Public Health Inspector; Pamela DelleChiaie, Health Department Assistant The members decided to change a few items such as; requiring applicants who did not meet the minimums for storage as required would come to the Board of Health for review of their proposals. They also changed the number of days allowed for use of an emergency food storage permit; from seven to fourteen days. The agreed changes will be inserted and the draft will be sent to town counsel, Carol McGravey, who reviewed the previous drafts. Once comments from legal are received the matter will be placed on the next available BOH meeting for final review and signature. B. Request from Bill Thomson for an extension of time for the site assignment requirement regarding trash truck monitoring. Dr. Trowbridge read the request and described the need for the extension for task V41 of the TBI site assignment for 210 Holt Road. The reason for Mr. Thomson's extension request is that the N. Andover Police station is scheduled to be open soon and the monitoring system required under section V 41 is not operational due to no fault of TBI. Discussion ensued over whether the time requested is a long enough period, and it was decided that a check in four months on how things are proceeding is appropriate. Dr. Frank MacMillan motioned to approve the request as written, Joe McCarthy seconded the motion. All were in favor. The request was unanimously approved. V. NEW BUSINESS A. Pre -Occupancy Rental Housing Service- Health Department planning to provide a service to landlords for sanitary code inspections for pre -occupancy of Rental housing — discussion of applicable fee for service. Dr. Trowbridge informed the members that the Health Director has met with the Town Manager and there is support for a future regulation by the Board of Health that would require an inspection of rental properties prior to occupancy. However, the financial piece must go through the usual channels of Town Meeting to allow the expansion of current job descriptions to assist staff in implementing this very involved regulation. Until then, Susan Sawyer is asking the Board Members to support the idea of starting a rental inspection program on a voluntary basis. She feels that this would give us data on how the program would work and may develop interest by the good landlords of North Andover. Susan Sawyer indicated that she spoke with the Lawrence Housing Court Senior Housing Specialist and the courts do look favorable of communities and landlords who obtain a certificate from the local Health Department certifying the condition of the rental unit. Discussion of members and staff ensued over a suggested fee for the voluntary service. Michele Grant suggested the fee of $50 and a re -inspection fee of $50. The re -inspection fee is already in place and used for all other inspection types when warranted. The re -inspection fee is used in extreme cases of non-compliance, not for just returning for one or two items she explained. The board is very supportive of this program and that North Andover's housing stock would benefit from it, however they would like more information on how the program would work before assessing the dollar figure for the fee. The matter will be placed on the agenda for the December meeting of the Board of Health. B. 1004 Salem Street — Proposed agreement with BOH to allow the construction of a second floor and roof repair prior to upgrading the septic system. The owner of 1004 Salem Street, Ms. Carmen Henriquez Lopez, presented the issue of concern at her property. Her petition for variance is to allow the construction, of a second floor living space and roof, prior to establishing a significant investment in the repair or replacement of the septic system. Ms. Lopez stated that the roof is currently placing her and her elderly parents as risk, as it is not in good condition and needs immediate replacing. Susan Sawyer reviewed the usual process and discussed how the issue ended up before the BOH. At this point there is no documented Title V failure, so to enter into an agreement to fix a "failed" system may not be appropriate as first thought. Dr. Trowbridge laid out another option discussed with the Health Director. The Director could be given direction to sign the building permit. The homeowner could be allowed to proceed with the project while investigating the options. The homeowner would then return to the December Board meeting with the resulting decision if warranted. Joe McCarthy inquired to whether an upgrade was actually needed. The Health Director indicated that the rush on assisting this homeowner is circumventing the usual way the Health Department reviews these applications. Ms. Sawyer stated most applications and reviews for building permits run smoothly, but Ms. Lopez's situation has been evolving and changing day by day. The initial construction proposal has changed and an upgrade is not required, but a Title V inspection is warranted by code. She just did not have the time to move through the usual process. Warcfi 25, 2010 North Andover Board of Health Meeting — Meeting Minutes Page 2 of 2 Note: The Board of Health reserves the right to take items out of order and to discuss and/or vote on items that are not listed on the agenda. Board of Health Members: Thomas Trowbridge, DDS, MD, Chairman, Larry Fixler, Member/Clerk, Anne Brennan, Member, Joseph McCarthy, Member; Francis P. MacMillan, Jr., M.D., Health Department Staff: Susan Sawyer, Health Director; Debra Rillahan, Public Health Nurse; Michele Grant, Public Health Inspector; Pamela DelleChiaie, Health Department Assistant Sawyer, Susan From: Edward Holden [EHOLDEN@nhs-healthlink.org] Sent: Tuesday, November 23, 2010 3:15 PM To: DelleChiaie, Pamela; Sawyer, Susan Cc: Ruth Neeman; Darcey Adams; Edward Holden; James Dunne Subject: Request to appear at Board of Health Meeting Dear Ms. Sawyer Referencing your letter dated November 23, 2010, to Darcy Adams in regards to the Spectrum Adult Health Center at 1820 Turnpike St., I would like to request a variance on your note regarding the use of a 2 -bay sink as opposed to a 3 - bay sink. 4-301.12 (D)(1). As you are aware, we have provided you with an opinion from our engineer at R.W.Sullivan. That coupled with the need to create a home -type environment, which is a critical piece of our therapy in the program, is why we feel that a wavier should be granted. That being said, I would greatly appreciate you allowing us to be placed on the agenda to meet with your Board of Health on December 16, 2010 to present our request for variance. If this request is granted, I will be attending with Darcy Adams our Program Director, Ruth Neeman our Architect and a representative from R.W.Sullivan our Engineer. If there is any material I can supply ahead of time, please let me know. Respectfully, Bud Holden System Facilities Director for Northeast Health System This message and its contents are confidential and are intended for the use of the addressee only, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient, this serves as notice that any unauthorized distribution, duplication, printing, or any other use is strictly prohibited. If you feel you have received this email in error, please delete the message and notify the sender so that we may prevent future occurrences. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 10 North Andover Health Department Community Development Division Paul Raia, Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arsenal Street Watertown, Massachusetts 02472 RE: Spectrum North Andover — adult day care specializing in dementia care Dear Dr. Raia: The North Andover Health Department has received your letter of support in regards to the new adult day care facility to be located at 1820 Turnpike Street. This office greatly appreciates your participation in this process and your explanation of the approach called "Habilitation Therapy"; however there are a few specific discussion points I would like to ask your thoughts on. The Northeast Senior Health proposal for the facility included an application to the Health Department for a "food establishment" permit. An annual permit is required by the local health department according to the definition of the State of Mass. Food code; 105 CMR 590.002, "a food establishment means an operation that stores, prepares, packages, serves, vents or otherwise provides food for human consumption". The Health Department's purview, in evaluating the food establishment application, is solely to ensure that safe food is provided to the consumer utilizing the state code parameters. The subject of my inquiry only pertains to the food service area and the time of food serving itself. This type of kitchen is considered a satellite facility, and generally in such cases the following steps occur for the main meal times. 1) Hot and cold foods are transferred daily from a licensed food establishment to the daycare generally in bulk temperature controlled containers. (The source and times for transfer are unknown at this time) 2) At the daycare, using a metal stemmed thermometer, the staff is responsible to check the food's internal temperatures and condition received in. The staff document that the hot food is over 140 degrees and the cold is less than 41 degrees. These temperatures are important, as they deter microbial growth that causes foodborne illness. If not acceptable, the food will be reheated or cooled as needed. Any unacceptable items would be placed aside and meal substitutes may be determined at this time. 3) When serving time draws near, the staff will set up the service area with clean and sanitized utensils. Plates of food that meet the state nutritional guidelines will be made available to the patients for consumption. 4) After service the food service area would be cleaned and sanitized with an approved sanitizer; most often chlorine at a I00ppm solution. Areas and utensils are left to air dry.. 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8416 Web www.townofnorthandover.com 5) The staff will ensure all condiments served to a high susceptible population will be discarded and not be reused per state code requirement. 6) Items to be returned to the licensed kitchen will be packed up for transfer. The second type of food service anticipated would be in the service of foods kept on the premise such as; breakfast or snack items. This likely will include a variety of cut fruits, cereals, breads and beverages; including milk and juices. These items require daily preparation, storage and rotation by staff to ensure quality. Items found out of date or adulterated would be discarded. As one can see, the time devoted to food service could be as little as one to two hours in a day, but it is no less important. As you described in your letter dated November 8, 2010, the daycare environment provides numerous opportunities and activities that "should be adult -like, failure free, familiar, convey a sense of purpose and provide ongoing practice with the person's remaining capacities". Though it may be only an hour a day, we are talking about being responsible for protection against foodborne illness for 50 plus high risk patients. The Health Department is looking for success in all areas. Serving safe food and providing the proper Habilitation therapeutic environment, are goals that can be met with compromise. We are suggesting that safety rules are as important in a home like environment, as well as full access to learning. Therefore, safety must be included in the daily structure, or the goal of "failure free" therapy could be in jeopardy. Ideally a separate therapeutic participatory kitchen could be incorporated into the plan design, but without that hard lined requirement, the Health Department's proposal is to compromise to allow the following: 1) Full access of the kitchen area, to the patients, at all times that food service is not in operation. Access restricted in some way during service and preparation times. 2) Full access to any cabinet that contains items used only for training such as bowls and utensils except service times. All other cabinets are to be locked during non-food service times. The question is; after review of this letter, do you feel, or have evidence to the effect, that having these two restrictions noted above would inhibit the habilitation environment so immensely, that food safety guidelines should not be followed in the case of this adult day care? This matter will be heard by the Board of Health on December 16, 2010. I would appreciate your comments on these compromises proposed, as it is my job to advise the Board of Health members. Thank you for your thoughts in this matter. Sinc e1- , usan Sa r Health Director Attachment: November 8t' letter copy: BOH members Darcey Adams, L.I.C.S.W. Curt Bellavance, Community Dev. Director Michael J. Moore, R.S., MDPH/BEH Food Protection Program 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com . www.alz.org/MANN 11800 272 3900 alzbeimer's associations November 8, 2010 Massachusetts/ Mr. Gerald Brown New Hampshire Chapter Building Inspector City Hall 311 Arsenal Street North Andover, MA Watertown, Massachusetts 02472 Dear Mr. Brown, 617 868 6718 1) 617 868 6720 f I am writing to support Northeast Senior Health's plan for an Adult Day Health Program specializing in dementia care in North Andover. REGIONAL OFFICES: As Vice President of Clinical Services for the Alzheimer's Association Massachusetts and New Hampshire Chapter and as a clinical gerontologist specializing in Alzheimer's disease for more than thirty years, I have seen first hand the Southeastern Mass multiple benefits of adult day health programs for Alzheimer's patients, their family caregivers and the health care Cape Cod & the Islands system. Current research on this topic indicates that adult day programs are treatment centers. With structured Village South Plaza activities -programming well designed programs can prevent many of the symptoms associated with Alzheimer's disease 473 South Street West and, they may even, slow the rate of decline, allowing patients to remain in the community longer. Unit 13 The algorithm for this treatment effect involves several key elements: staff training; prosthetic design of the Raynham, MA 02767 environment; cognitive training; exercise; diet; purposeful engagement and socialization. Many adult day health 508 880 0055 p programs in Massachusetts, Northeast Senior Health most notably among them, follow a treatment strategy that I and 508 880 0056 f others have developed called "Habilitation Therapy". This approach focuses on bringing about and maintaining positive emotions in patients over the course of the day. Central Mass The activities program is the motor that drives this treatment approach. The activities should be adult -like, failure free, 128 Providence Street familiar, conveya sense of purpose and provide ongoing g practice with the person's remaining capacities. Massachusetts 01604 Design features should include a home -like environment, space to wander, color cueing that promotes independence, 508 799 2386 p enhanced lighting and other features that cause positive emotions. A participatory kitchen plays a key role in the 508 799 2653 f therapeutic objectives for many adult day health patients. First of all, the kitchen is an iconic symbol of home, it is where people gather naturally, it conveys a sense of safety and in this sense it contributes to the positive emotions of clients. In another way, the kitchen gives homemakers a familiar arena where they can use "hard wired" cognitive skills Western Mass that relate to their role nurturers which gives them a sense of purposefulness. Keep in mind, the participatory kitchen is Springfield, Massachusetts Cottage Street not where food is prepared for consumption and not be thought of in that sense. The kitchen in this sense is a stage set Spr 01104 where adult day clients can continue to play a role, and that is part of our therapeutic aim. 413 7871113 It I strongly urge that the kitchen be considered one of the many therapeutic tools that are essential in our work with 413 787 1109 f dementia patients. Indeed, in my many years doing this work, I have helped to design dozens of adult day programs with therapeutic kitchens. I would encourage you to look at similar programs in assisted living and adult day programs New Hampshire in the Merrimack Valley area to see how these kitchens are used. One Bedford Farms Drive I would be happy to talk with you further on this matter. Suite 105 Bedford, New Hampshire Sincerely, 03110 603 606 6590 p 603 606 6803 f Paul Raia, Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arsenal Street Watertown, Massachusetts 02472 617 868-6718 the compassion to care, the leadership to conquer Grant, Michele To: aladams@nhs-healthlink.org; eholden@nhs-healthlink.org Cc: Sawyer, Susan; DelleChiaie, Pamela Subject: Monday Meeting Hello Darcey, Thank you for submitting your response to my email regarding the pending second review of the Spectrum food establishment application. I have not completely gone through your answers, but will do so Monday morning, as I am out of the office today. In consideration of some of the remaining issues, I would like to take the opportunity to view the set up at your Beverly site as we previously spoke of; rather than have an additional meeting at our office. This will be a short visit specifically to familiarize us with the set up. Would 1:30, on Monday Dec. 13th be an acceptable time? Thank you Susan NorthAndover9feafth (Department North Andover, 914A. 01845 978-688-9540 978-688-8476 - Ea,� r North Andover Health Department (ommunity Development Division Paul Raia, Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arsenal Street Watertown, Massachusetts 02472 RE: Spectrum North Andover — adult day care specializing in dementia care Dear Dr. Raia: EF13 ?y The North Andover Health Department has received your letter of support in regards to the new adult day care facility to be located at 1820 Turnpike Street. This office greatly appreciates your participation in this process and your explanation of the approach called "Habilitation Therapy"; however there are a few specific discussion points I would like to ask your thoughts on. The Northeast Senior Health proposal for the facility included an application to the Health Department for a "food establishment" permit. An annual permit is required by the local health department according to the definition of the State of Mass. Food code; 105 CMR 590.002, "a food establishment means an operation that stores, prepares, packages, serves, vents or otherwise provides food for human consumption". The Health Department's purview, in evaluating the food establishment application, is solely to ensure that safe food is provided to the consumer utilizing the state code parameters. The subject of my inquiry only pertains to the food service area and the time of food serving itself. This type of kitchen is considered a satellite facility, and generally in such cases the following steps occur for the main meal times. 1) Hot and cold foods are transferred daily from a licensed food establishment to the daycare generally in bulk temperature controlled containers. (The source and times for transfer are unknown at this time) 2) At the daycare, using a metal stemmed thermometer, the staff is responsible to check the food's internal temperatures and condition received in. The staff document that the hot food is over 140 degrees and the cold is less than 41 degrees. These temperatures are important, as they deter microbial growth that causes foodborne illness. If not acceptable, the food will be reheated or cooled as needed. Any unacceptable items would be placed aside and meal substitutes may be determined at this time. 3) When serving time draws near, the staff will set up the service area with clean and sanitized utensils. Plates of food that meet the state nutritional guidelines will be made available to the patients for consumption. 4) After service the food service area would be cleaned and sanitized with an approved sanitizer; most often chlorine at a 100ppm solution. Areas and utensils are left to air dry.. 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com 5) The staff will ensure all condiments served to a high susceptible population will be discarded and not be reused per state code requirement. 6) Items to be returned to the licensed kitchen will be packed up for transfer. The second type of food service anticipated would be in the service of foods kept on the premise such as; breakfast or snack items. This likely will include a variety of cut fruits, cereals, breads and beverages; including milk and juices. These items require daily preparation, storage and rotation by staff to ensure quality. Items found out of date or adulterated would be discarded. As one can see, the time devoted to food service could be as little as one to two hours in a day, but it is no less important. As you described in your letter dated November 8, 2010, the daycare environment provides numerous opportunities and activities that "should be adult -like, failure free, familiar, convey a sense of purpose and provide ongoing practice with the person's remaining capacities". Though it may be only an hour a day, we are talking about being responsible for protection against foodborne illness for 50 plus high risk patients. The Health Department is looking for success in all areas. Serving safe food and providing the proper Habilitation therapeutic environment, are goals that can be met with compromise. We are suggesting that safety rules are as important in a home like environment, as well as full access to learning. Therefore, safety must be included in the daily structure, or the goal of "failure free" therapy could be in jeopardy. Ideally a separate therapeutic participatory kitchen could be incorporated into the plan design, but without that hard lined requirement, the Health Department's proposal is to compromise to allow the following: 1) Full access of the kitchen area, to the patients, at all times that food service is not in operation. Access restricted in some way during service and preparation times. 2) Full access to any cabinet that contains items used only for training such as bowls and utensils except service times. All other cabinets are to be locked during non-food service times. The question is; after review of this letter, do you feel, or have evidence to the effect, that having these two restrictions noted above would inhibit the habilitation environment so immensely, that food safety guidelines should not be followed in the case of this adult day care? This matter will be heard by the Board of Health on December 16, 2010. I would appreciate your comments on these compromises proposed, as it is my job to advise the Board of Health members. Thank you for your thoughts in this matter. 7Lqr Health Director Attachment: November 8h letter copy: BOH members Darcey Adams, L.I.C.S.W. Curt Bellavance, Community Dev. Director Michael J. Moore, R.S., MDPHBEH Food Protection Program 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com www.alz.ory/MANH ;800 272 3900 alzheimer's association', November 8, 2010 Mr. Gerald Brown Massachusetts/ Building Inspector New Hampshire Chapter City Hall 311 Arsenal Street North Andover, MA Watertown, Massachusetts 02472 Dear Mr. Brown, 617 868 6718 1) 617 868 6720 f I am writing to support Northeast Senior Health's plan for an Adult Day Health Program specializing in dementia care in North Andover. REGIONAL OFFICES: As Vice President of Clinical Services for the Alzheimer's Association Massachusetts and New Hampshire Chapter and as a clinical gerontologist specializing in Alzheimer's disease for more than thirty years, I have seen first hand the Sorrtlieastern Mass multiple benefits of adult day health programs for Alzheimer's patients, their family caregivers and the health care Cape Cod & the Islands system. Current research on this topic indicates that adult day programs are treatment centers. With structured Village South Plaza activities -programming well designed programs can prevent many of the symptoms associated with Alzheimer's disease 473 South Street West and, they may even, slow the rate of decline, allowing patients to remain in the community longer. Unit 13 The algorithm for this treatment effect involves several key elements: staff training; prosthetic design of the Raynharn, MA 02767 environment; cognitive training; exercise; diet; purposeful engagement and socialization. Many adult day health 508 880 0055 p programs in Massachusetts, Northeast Senior Health most notably among them, follow a treatment strategy that I and 508 880 0056 f others have developed called "Habilitation Therapy". This approach focuses on bringing about and maintaining positive emotions in patients over the course of the day. Central Mass The activities program is the motor that drives this treatment approach. The activities should be adult -like, failure free, 128 Providence Street familiar, convey a sense of purpose and provide ongoing practice with the person's remaining capacities. Worcester, Massachusetts 01604 Design features should include a home -like environment, space to wander, color cueing that promotes independence, 508 799 2386 p enhanced lighting and other features that cause positive emotions. A participatory kitchen plays a key role in the 508 799 2653 f therapeutic objectives for many adult day health patients. First of all, the kitchen is an iconic symbol of home, it is where people gather naturally, it conveys a sense of safety and in this sense it contributes to the positive emotions of clients. In another way, the kitchen gives homemakers a familiar arena where they can use "hard wired" cognitive skills Western Mass that relate to their role nurturers which gives them a sense of purposefulness. Keep in mind, the participatory kitchen is 264 Cottage Street not where food is prepared for consumption and not be thought of in that sense. The kitchen in this sense is a stage set Springfield, Massachusetts where adult day clients can continue to play a role, and that is part of our therapeutic aim. 01104 413 7871113 l) I strongly urge that the kitchen be considered one of the many therapeutic tools that are essential in our work with 413 787 1109 f dementia patients. Indeed, in my many years doing this work, I have helped to design dozens of adult day programs with therapeutic kitchens. I would encourage you to look at similar programs in assisted living and adult day programs New Hampshire in the Merrimack Valley area to see how these kitchens are used. One Bedford Farms Drive I would be happy to talk with you further on this matter. Suite 105 Bedford, New Hainpshire Sincerely, 03110 603 606 6590 1) 603 606 6803 f Paul Raia, Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arsenal Street Watertown, Massachusetts 02472 617 868-6718 the compassion to care, the leadership to conquer North Andover Health Department (ommunity Development Division Paul Raia, Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arsenal Street Watertown, Massachusetts 02472 RE: Spectrum North Andover — adult day care specializing in dementia care Dear Dr. Raia: The North Andover Health Department has received your letter of support in regards to the new adult day care facility to be located at 1820 Turnpike Street. This office greatly appreciates your participation in this process and your explanation of the approach called "Habilitation Therapy"; however there are a few specific discussion points I would like to ask your thoughts on. The Northeast Senior Health proposal for the facility included an application to the Health Department for a "food establishment" permit. An annual permit is required by the local health department according to the definition of the State of Mass. Food code; 105 CMR 590.002, "a food establishment means an operation that stores, prepares, packages, serves, vents or otherwise provides food for human consumption". The Health Department's purview, in evaluating the food establishment application, is solely to ensure that safe food is provided to the consumer utilizing the state code parameters. The subject of my inquiry only pertains to the food service area and the time of food serving itself. This type of kitchen is considered a satellite facility, and generally in such cases the following steps occur for the main meal times. 1) Hot and cold foods are transferred daily from a licensed food establishment to the daycare generally in bulk temperature controlled containers. (The source and times for transfer are unknown at this time) 2) At the daycare, using a metal stemmed thermometer, the staff is responsible to check the food's internal temperatures and condition received in. The staff document that the hot food is over 140 degrees and the cold is less than 41 degrees. These temperatures are important, as they deter microbial growth that causes foodborne illness. If not acceptable, the food will be reheated or cooled as needed. Any unacceptable items would be placed aside and meal substitutes may be determined at this time. 3) When serving time draws near, the staff will set up the service area with clean and sanitized utensils. Plates of food that meet the state nutritional guidelines will be made available to the patients for consumption. 4) After service the food service area would be cleaned and sanitized with an approved sanitizer; most often chlorine at a 100ppm solution. Areas and utensils are left to air dry.. 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com 5) The staff will ensure all condiments served to a high susceptible population will be discarded and not be reused per state code requirement. 6) Items to be returned to the licensed kitchen will be packed up for transfer. The second type of food service anticipated would be in the service of foods kept on the premise such as; breakfast or snack items. This likely will include a variety of cut fruits, cereals, breads and beverages; including milk and juices. These items require daily preparation, storage and rotation by staff to ensure quality. Items found out of date or adulterated would be discarded. As one can see, the time devoted to food service could be as little as one to two hours in a day, but it is no less important. As you described in your letter dated November 8, 2010, the daycare environment provides numerous opportunities and activities that "should be adult -like, failure free, familiar, convey a sense of purpose and provide ongoing practice with the person's remaining capacities". Though it may be only an hour a day, we are talking about being responsible for protection against foodborne illness for 50 plus high risk patients. The Health Department is looking for success in all areas. Serving safe food and providing the proper Habilitation therapeutic environment, are goals that can be met with compromise. We are suggesting that safety rules are as important in a home like environment, as well as full access to learning. Therefore, safety must be included in the daily structure, or the goal of "failure free" therapy could be in jeopardy. Ideally a separate therapeutic participatory kitchen could be incorporated into the plan design, but without that hard lined requirement, the Health Department's proposal is to compromise to allow the following: 1) Full access of the kitchen area, to the patients, at all times that food service is not in operation. Access restricted in some way during service and preparation times. 2) Full access to any cabinet that contains items used only for training such as bowls and utensils except service times. All other cabinets are to be locked during non-food service times. The question is; after review of this letter, do you feel, or have evidence to the effect, that having these two restrictions noted above would inhibit the habilitation environment so immensely, that food safety guidelines should not be followed in the case of this adult day care? This matter will be heard by the Board of Health on December 16, 2010. I would appreciate your comments on these compromises proposed, as it is my job to advise the Board of Health members. Thank you for your thoughts in this matter. Sinc 051- , usan Sa r Health Director Attachment: November 8th letter copy: BOH members Darcey Adams, L.I.C.S.W. Curt Bellavance, Community Dev. Director Michael J. Moore, R.S., MDPH/BEH Food Protection Program 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com www.aiz.org/MANN J800 272 3900 alzheimer's SU association November 8, 2010 Mr. Gerald Brown Massachusetts/ Building Inspector New Hampshire Chapter City Hall 311 Arsenal Street North Andover, MA Watertown, Massachusetts 02472 Dear Mr. Brown, 617 868 6718 1) 617 868 6720 f I am writing to support Northeast Senior Health's plan for an Adult Day Health Program specializing in dementia care in North Andover. REGIONAL OFFICES: As Vice President of Clinical Services for the Alzheimer's Association Massachusetts and New Hampshire Chapter and as a clinical gerontologist specializing in Alzheimer's disease for more than thirty years, I have seen first hand the Southeastern Mass multiple benefits of adult day health programs for Alzheimer's patients, their family caregivers and the health care Cape Cod & the Islands system. Current research on this topic indicates that adult day programs are treatment centers. With structured Village South Plaza activities -programming well designed programs can prevent many of the symptoms associated with Alzheimer's disease 473 South Street West and, they may even, slow the rate of decline, allowing patients to remain in the community longer. Unit 13 The algorithm for this treatment effect involves several key elements: staff training; prosthetic design of the Raynham, MA 02767 environment; cognitive training; exercise; diet; purposeful engagement and socialization. Many adult day health 508 880 0055 p programs in Massachusetts, Northeast Senior Health most notably among them, follow a treatment strategy that I and 508 880 0056 f others have developed called "Habilitation Therapy". This approach focuses on bringing about and maintaining positive emotions in patients over the course of the day. Central Mass The activities program is the motor that drives this treatment approach. The activities should be adult -like, failure free, 128 Providence Street familiar, convey a sense of purpose and provide ongoing practice with the person's remaining capacities. Worcester, Massachusetts 01604 Design features should include a home -like environment, space to wander, color cueing that promotes independence, 508 799 2386 1) enhanced lighting and other features that cause positive emotions. A participatory kitchen plays a key role in the 508 799 2653 f therapeutic objectives for many adult day health patients. First of all, the kitchen is an iconic symbol of home, it is where people gather naturally, it conveys a sense of safety and in this sense it contributes to the positive emotions of clients. In another way, the kitchen gives homemakers a familiar arena where they can use "hard wired" cognitive skills Western Mass that relate to their role nurturers which gives them a sense of purposefulness. Keep in mind, the participatory kitchen is 264 Cottage Street not where food is prepared for consumption and not be thought of in that sense. The kitchen in this sense is a stage set Springfield, Massachusetts where adult day clients can continue to play a role, and that is part of our therapeutic aim. 01104 413 7871113 It I strongly urge that the kitchen be considered one of the many therapeutic tools that are essential in our work with 413 787 1109 f dementia patients. Indeed, in my many years doing this work, I have helped to design dozens of adult day programs with therapeutic kitchens. I would encourage you to look at similar programs in assisted living and adult day programs New Hampshire in the Merrimack Valley area to see how these kitchens are used. One Bedford Farms Drive I would be happy to talk with you further on this matter. Suite 105 Bedford, New Hampshire Sincerely, 03110 603 606 6590 1) 603 606 6803 f Paul Raia, Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arsenal Street Watertown, Massachusetts 02472 617 868-6718 the compassion to care, the leadership to conquer Community Development Division Planning Department TRC Meeting Minutes of Meeting November 10, 2010 1600 Osgood Street, Main Conference Room 10:00 AM Staff Present: Judy Tymon, Town Planner Jennifer Hughes, Conservation Administrator Fred McCarthy, Fire Dept. Michelle Grant, Health Inspector John Carney, Police Dept. Gerry Brown, Inspector of Buildings Jean Enright, Department Assistant, Planning Absent: Susan Sawyer, Health Director Karen Fitzgibbons, Asst. Town Clerk (with comments) Tim Willet, Water Dept. Gene Willis, Town Engineer Pam DelleChiaie, Department Assistant, Health Present for Applicant: Gino Fodera, Alfred Muccine, Darcy Adams, Bud Holden, Ruth Neeman, Bill McGowen. Northeast Senior Health, the applicant, is proposing an adult day health center serving people and families coping with Alzheimer's disease and related disorders. The program provides a variety of skilled services, therapeutic activities, clinical social work support, transportation and information/ referral. The facility would be located at 1820 Turnpike Street and the hours of operation would be Monday through Friday Sam until 5pm. The applicant currently operates a similar facility in Beverly at the Cummings Center and the North Andover location would be a satellite site. Their research indicates that North Andover is an underserved area. The facility will be regulated by the Executive Office of Elderly Affairs. The layout of the facility would include a walking loop, nurse's office, quite space, five bathrooms (2 with shower facilities), cubicle areas for personnel belongings, a few offices, therapy area, greeting area, arts/craft activity area, and a kitchen area. There are a couple of existing doorways in the front of the building that will be closed up and windows installed. They do not foresee and changes in the parking area. The proposal includes an addition of an outdoor patio that would be fenced in with a gate for emergency egress. The kitchen area is seen as the 'heart of the program' as it provides a therapeutic, meaningful activity area. Most people utilizing the daycare are moderate stage and the kitchen helps to create a homelike facility rather than a clinical one. The patient to staff ratio is 4:1. Judy: Verified the outside patio would not have a roof or walls. Requested a letter stating how much impervious surface would be added and calculations for stormwater impact. This patio was not on the original site plan review, however; most likely site plan review will be waived once all the information is Adult Day Care 1820 Turnpike Street Meeting Minutes www.aiz.org/MANN As Vice President of Clinical Services for the Alzheimer's Association Massachusetts and New Hampshire Chapter and 128 Providence Street 800 272 3900 Southeastern Mass multiple benefits of adult day health programs for Alzheimer's patients, their family caregivers and the health care Cape Cod & the Islands system. Current research on this topic indicates that adult day programs are treatment centers. With structured alzheimer's associabonR activities -programming well designed programs can prevent many of the symptoms associated with Alzheimer's disease November 8, 2010 and, they may even, slow the rate of decline, allowing patients to remain in the community longer. Unit 13 Raynham, MA 02767 Mr. Gerald Brown Massachusetts/ Building Inspector programs in Massachusetts, Northeast Senior Health most notably among them, follow a treatment strategy that I and New Hampshire Chapter City Hall Springfield, Massachusetts 311 Arsenal Street North Andover, MA Watertown, Massachusetts 02472 Dear Mr. Brown, 617 868 6718 p 617 868 6720 f I am writing to support Northeast Senior Health's plan for an Adult Day Health Program specializing in dementia care in North Andover. REGIONAL OFFICES: As Vice President of Clinical Services for the Alzheimer's Association Massachusetts and New Hampshire Chapter and 128 Providence Street as a clinical gerontologist specializing in Alzheimer's disease for more than thirty years, I have seen first hand the Southeastern Mass multiple benefits of adult day health programs for Alzheimer's patients, their family caregivers and the health care Cape Cod & the Islands system. Current research on this topic indicates that adult day programs are treatment centers. With structured Village South Plaza activities -programming well designed programs can prevent many of the symptoms associated with Alzheimer's disease 473 South Street West and, they may even, slow the rate of decline, allowing patients to remain in the community longer. Unit 13 Raynham, MA 02767 The algorithm for this treatment effect involves several key elements: staff training; prosthetic design of the environment; cognitive training; exercise; diet; purposeful engagement and socialization. Many adult day health 508 880 0055 1) programs in Massachusetts, Northeast Senior Health most notably among them, follow a treatment strategy that I and 508 880 0056 f others have developed called "Habilitation Therapy". This approach focuses on bringing about and maintaining positive Springfield, Massachusetts emotions in patients over the course of the day. Central Mass The activities program is the motor that drives this treatment approach. The activities should be adult -like, failure free, 128 Providence Street familiar, convey a sense of purpose and provide ongoing practice with the person's remaining capacities. Worcester, Massachusetts 01604 Design features should include a home -like environment, space to wander, color cueing that promotes independence, 508 799 2386 p enhanced lighting and other features that cause positive emotions. A participatory kitchen plays a key role in the 508 799 2653 f therapeutic objectives for many adult day health patients. First of all, the kitchen is an iconic symbol of home, it is where people gather naturally, it conveys a sense of safety and in this sense it contributes to the positive emotions of clients. In another way, the kitchen gives homemakers a familiar arena where they can use "hard wired" cognitive skills Western Mass that relate to their role nurturers which gives them a sense of purposefulness. Keep in mind, the participatory kitchen is 264 Cottage Street not where food is prepared for consumption and not be thought of in that sense. The kitchen in this sense is a stage set Springfield, Massachusetts where adult day clients can continue to play a role, and that is part of our therapeutic aim. 01104 413 7871113 p I strongly urge that the kitchen be considered one of the many therapeutic tools that are essential in our work with 413 787 1109 f dementia patients. Indeed, in my many years doing this work, I have helped to design dozens of adult day programs with therapeutic kitchens. I would encourage you to look at similar programs in assisted living and adult day programs in the Merrimack Valley area to see how these kitchens are used. New Hampshire One Bedford Farms Drive I would be happy to talk with you further on this matter. Suite 105 Bedford, New Hampshire Sincerely, 03110 603 606 6590 p 603 606 6803 f Paul Raia Ph.D. Vice President, Clinical Services Alzheimer's Association, Massachusetts/New Hampshire Chapter 311 Arsenal Street Watertown, Massachusetts 02472 617 868-6718 the compassion to care, the leadership to conquer PRINTED BY: Pamela DelleChiaie - PLEASE LEAVE IN PRINT-OUT TRAY....... THANK YOU. DelleChiaie, Pamela From: Sawyer, Susan Sent: Tuesday, November 23, 2010 10:46 AM To: 'diadams@nhs-healthlink.org' Cc: Bellavance, Curt; 'Moore, Michael (DPH)'; 'tat.boh@comcast.net; DelleChiaie, Pamela; Grant, Michele; Ippolito, Mary Subject: Spectrum Day Care Plan Review Attachments: Spectrum Day Care plan review 11.22.10.doc; 20101123101333596.pdf Hello Darcey, As we discussed yesterday, I have completed the review and am emailing you the denial letter for convenience, as well as sending it via regular mail. Please find the attached document. Also, I sent a black and white signed scanned version, as well as the word document, as it may be easier to read in color. Please call the office if you have any questions on how to proceed if your company chooses to request BOH variances. I have assumed that you have a copy of your establishment plan review application that you may make the requested changes to. If you do not, we can scan you a copy on request. Thank you Susan Sitmatt Sa ytv 1600 (Jogmd Stud XUg. 20, unit 2-36 NwA andam, .Ma v1845 oyke 978 688-9540 fax 978 688-8476 All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the [ http://www.sec.state.ma.us/pre/preidx.htm ]Massachusetts Public Records Law. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/i)reidx.htm. Please consider the environment before printing this email. I OF I DelleChiaie, Pamela r1 of NoRTy q� J • 1 o � 5 gSSAC PUBLIC HEALTH DEPARTMENT (ommunity Development Division November 24, 2010 Darcey Adams, L.I.C.S.W. Northeast Senior Health 600 Cummings Center; Suite 2752 Beverly, MA 01915 Re: Spectrum Adult Day Care, 1820 Turnpike St Dear Ms. Adams, The Health Department has received the email request from Bud Holden, on behalf of the application for Spectrum Adult Day Care, requesting to be placed on the December 16, 2010 agenda of the Board of Health meeting. At that meeting, you may present evidence in support of the variance request regarding the use of a 2 -bay sink as opposed to a 3 -bay sink FC 4-301.12 (D) (1). This meeting will take place at 7:00 PM, in the second floor selectmen's room of the Town Hall, located at 120 Main Street. In regards to the other deficiency items noted in the plan review, we will review your corrections/explanations upon resubmission. It is recommended that all other items be cleared up prior to the Board of Health meeting, so that we can be sure that all issues needing to be dealt with are clear before the Board. Please also note that it is my understanding that the Community Development Director, Curt Bellavance, along with the Building Inspector, Brian Leathe, has issued your building owner/construction contractor a building permit for the site and he is proceeding at his own peril. The concern for you, as the applicant, is that the Health Department is not aware of what plan was submitted to the Building Department to gain this permit. It is more than likely a plan that does not incorporate the changes to the kitchen area that you will be making in the next several weeks. You may not be aware that this action may have put your company at increased financial risk. Though your contractor may begin construction, moving ahead without an approved kitchen plan Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Spectrum Day Care Hearing is ill-advised. The best general practice is to only approve the final version of a plan. In this case the permit issuance circumvented the standard Community Development "Form U" process, which Community Development designed to keep applicants safe from unnecessary corrective costs. In light of this, it is highly recommended that you consult with your builder to restrict his construction from the internal area of the kitchen. This matter is extremely important, as this establishment will not be permitted to operate until it is in full compliance with 105 CMR 590.000, as it is being constructed without the approval of the Board of Health. Thank you for your cooperation in this important matter of public health. We look forward to working with you as we continue through the building process and throughout the coming years as you strive to bring your services to the citizens of North Andover and we strive to ensure the service of safe food to your clients. Sincerely, ,SusSawyer,H /RS Public Health Director Cc: Mark Rees, Town Manager Curt Bellavance, Community Development Dir. Gerald Brown, Inspector of Buildings Board of Health Chairman and Members Michael J. Moore, R.S., Rapid Response Team Project Coordinator MDPHBEH Food Protection Program North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 2 of 2 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 PRINTED BY: Pamela DelleChiaie - PLEASE LEAVE IN PRINT-OUT TRAY....... THANK YOU. DelleChiaie, Pamela From: Sawyer, Susan Sent: Wednesday, November 24, 2010 9:38 AM To: Grant, Michele; DelleChiaie, Pamela Subject: FW: Request to appear at Board of Health Meeting From: Edward HoldenLmaiIto: EHOLDENCabnhs-healthIink.org] Sent: Tuesday, November 23, 2010 3:15 PM To: DelleChiaie, Pamela; Sawyer, Susan Cc: Ruth Neeman; Darcey Adams; Edward Holden; James Dunne Subject: Request to appear at Board of Health Meeting Dear Ms. Sawyer Referencing your letter dated November 23, 2010, to Darcy Adams in regards to the Spectrum Adult Health Center at 1820 Turnpike St., I would like to request a variance on your note regarding the use of a 2 -bay sink as opposed to a 3 - bay sink. 4-301.12 (D)(1). As you are aware, we have provided you with an opinion from our engineer at R.W.Sullivan. That coupled with the need to create a home -type environment, which is a critical piece of our therapy in the program, is why we feel that a wavier should be granted. That being said, I would greatly appreciate you allowing us to be placed on the agenda to meet with your Board of Health on December 16, 2010 to present our request for variance. If this request is granted, I will be attending with Darcy Adams our Program Director, Ruth Neeman our Architect and a representative from R.W.Sullivan our Engineer. If there is any material I can supply ahead of time, please let me know. Respectfully, Bud Holden System Facilities Director for Northeast Health System This message and its contents are confidential and are intended for the use of the addressee only, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient, this serves as notice that any unauthorized distribution, duplication, printing, or any other use is strictly prohibited. If you feel you have received this email in error, please delete the message and notify the sender so that we may prevent future occurrences. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. I OF I DelleChiaie, Pamela PUBLIC HEALTH DEPARTMENT Community Development Division November 23, 2010 Darcey Adams L.I,C.S.W. Northeast Senior Health 600 Cummings Ctr. Suite 2752 Beverly, MA 01915 Re: Plan Review - Spectrum Adult Day Care, 1820 Turnpike St, Dear Ms. Adams, The Health Department received your completed application submitted for the new food establislunent to be known as "Spectrum Adult Day Care" on November 10, 2010. Acting under the authority of MGL Ch. 111, s. 127A, the office of the Board of Health reviewed these plans to determine whether or not the proposed remodeling complies with the 1999 FDA Food Code as revised by Chapter 10 of the State Sanitary Code, 105 CMR 590.000, Mininnan Sanitation Slandtrrds for rood Establishments. This office is unable to grant its approval of these plans because the proposed construction does not comply with the above cited code. Please refer to the items listed below for those specific items which are not in compliance. The professional document submitted by R.W. Sullivan Engineering has been reviewed as well. We concur with the premise that a two - bay sink is allowed if approved, the need for a grease trap is determined by the Plumbing Inspector and the slop sink placement in the janitor closet is appropriate. Please review the items below and revise as needed and resubmit to the Health Department. Once received, a second review will be conducted and response will be sent to you in hopes to move forward as soon as possible. If the choice is to request a variance in any specific item please note that the next regularly scheduled meeting will be held on December 18, 2010. To be on the agenda, a request must be received at the Health Department by December North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 1 of 4 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Spectrum Day Care Plan Review Nov. 23, 2010 Stn The Board of Health will be provided copies of your submission and you may address the need for the variance. Please be aware that this until an approval letter is generated in this matter, the building permit application can not be signed by this office. Also note that once approval is received, the establishment will not be permitted to operate until it is in full compliance with 105 CMR 590.000. Under section 105 CMR 590.15(B) of the Food Code, you are entitled to a hearing in this matter. Written request for such a hearing must be received by this office within ten days of receipt of this letter. Thank you for your continued cooperation. We look forward to working with you on this project and in the future. y, an Sawye lic Health Director Cc: Curt Bellavance, Community Dev. Dir. Gerald Brown, Inspector of Buildings Dr Thomas Trowbridge, BOH Chairman Michael J. Moore, R.S., Rapid Response Team Project Coordinator MDPH/BEH Food Protection Program 305 South St., Jamaica Plain, MA 02130 phone: 617-983-6754 fax: 617-983-6770 Encl. 3- page Sample Finish Schedule- excerpt from FDA plan review guide Items of Deficiency noted in plan review Code ref. Corrective Action Plan does not address the issue of the free flowing of 2-103.11(B) Please address Health clients into the kitchen area during food service. concerns regarding the There is also no description of how the food in the allowance of refrigerators and cabinets is protected from "unnecessary persons" in unauthorized persons in the "participatory" style the area during food kitchen. Code states Persons unnecessary to the food service. Also, please preparation, storage or warewashing areas address the allowance of establishment operation are not allowed in the food free access of clients to areas except for brief tours etc. all cabinets, utensils, refrigeration and cooking equipment etc. Page 6 #4 description does not fully follow state food 590.003 (D) The Highly susceptible code recommendations "Any staff member showing (3) (a) populations require signs of illness will not be allowed to serve food to exclusions in certain program members". Please review policy for sick cases. Please submit a Page 2 of 4 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 ./ SUectrum Dav Care Plan Review Nov. 23.2010 Page 3 of 4 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 workers. sick policy noting this. Page 7 #5 a multi surface cleaner cannot be used on food FC4-501.114 Identify type of sanitizer contact surfaces. The food code allows for bleach, and change test strips to quaternary ammonia or iodine to be used. Also a test kit "yes" for the chosen sanitizer must be on site at all times. Page 7 description of cleaning and sanitizer is incomplete. Please elaborate on process "food -service grade sanitizer" This statement does not describe a procedure Page 7 #8 minimizing length of time PHF's are in the No action needed danger zone Answer should describe process ie. that hot foods will -arrive-and-be tested -I€temp-is-riot above...1.40-eitherthe... ..... .... ....... ----.......... ........ .................... ............... —... .... ....... ............... ....... .... ....... .................. ..... ................. ......... .... ........... . food will be reheated to 165 degrees or served in-nnediately. If cold foods arrive not less than 41 degrees, they will be served immediately or cooled immediately. Page 8 # 12 measures taken listed do not indicate level of FC 3-801.11 The Highly susceptible care for high risk populations. ie. no re -service of populations require unopened packages such as butter, ketchup, creamers etc. compliance with this section, Please review and revise answer Page 10 finish schedule not specific as requested on form. FC chapter Please direct questions with Ie. all splash zones are not washable durable surfaces. 6 Health Dept and revise as Ceilings over food service areas are not washable tiles. needed Caving not stated as curved base, usually vinyl. Please see attached "finish schedule" noting The ware washing area is the area around the 3 bay sink. It acceptable finishes per is not N/A FDA guidelines. Please revise Page 13 requests the plumbing boxes be initialed, Often Please have plumber initial the plumber can complete this for the applicant if you are as requested to ensure not sure. This is a confirmation only, compliance to code Page 15 #29 no grease trap. The plumbing code may or Plumbing Investigate and confirm that may not require one with the three -bay sink. Please corse inspector does not require a confirm with plumbing inspector grease trap MSDS sheets are not submitted with application. If all Please submit copies for out- urchemicals chemicalsare not chosen to date, please submit when able files Pae 18 — NO checked on test stops FC 4-302.14 Please change to yes Equipment No three bay sink. Only 2 -bay shown. We concur with 4-301.12 Please revise as a three -bay Sullivan Eng. That the MA Code allows for 2 bay if RM or submit a request in allowed. This allowance can be approved by variance by writing to address the BOI1 the Board of Health, if when presented, the Board deems it at a scheduled mtg. appropriate for this application. Dish machine spec sheet says either hot water with booster I Please specify machine type Page 3 of 4 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 J Suectrum Dav Care Plan Review Nnv. �l 'WA A or chemical. Location of handsink may not be accessible by all parties 5203.11 Provide safety and in the kitchen. Possible safety issue. Located very close to Please adequate hand wash stove. check with facility building dept Microwave installation instructions submitted. No unit Please submit spec sheets specifications found in packet. for NSF Ul., rated e ni ment If a vent is provided, no vent information Please Please inform Health check with with details _....................................................................................................................................................................................................................................... . .. -uf Itli-mg . ................. ............. ................................................................................._................. . dept. No specification sheets for sinks. NA includes sinks in the category of equipment Please submit specification sheets North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 4 of 4 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978,688.8476 LoInpliance & Entorcement > food Establishment Plan Review Uuide - Section III, Part 10 Page I of 3 Fft U.S. Food and Drug Administration Home> Food> Food Safetv> Retail Food Protection Food Food Establishment Plan Review Guide - Section III, Part 10 Food and Drug Administration and Conference for Food Protection SECTION III FOOD ESTABLISHMENT GUIDE FOR DESIGN, INSTALLATION, AND CONSTRUCTION RECOMMENDATIONS PART 10 - FINISH SCHEDULE The following chart and footnotes provide acceptable finishes for floors, walls and ceilings, by area: FLOOR AL CEII.iNG KITCHEN COOKING Quarry tile, poured Stainless steel; aluminum; Ceramic Plastic coated or metal seamless, sealed concrete tile clad fiberboard; Dry-wa epoxy, Glazed surface; Plastic laminate FOOD PREP Same as above plus commercial grade vinyl composition tile. BAR Same as above Same as above plus approved wall panels (FRP) Fiberglass Reinforced Polyester Panel; epoxy painted drywall; filled block with epoxy paint or glazed surface Same as above for areas behind sinks Same as above Meets building codes FOOD STORAGE Same as above plus Approved wall panels (FRP) Acoustic tile; painted sealed concrete, Fiberglass Reinforced Polyester sheetrock commercial grade vinyl Panel; epoxy painted drywall; filled composition tile or sheets block with epoxy paint or glazed surface OTHER STORAGE Same as above Painted sheetrock Same as above TOILET ROOM Quarry tile; poured sealed Approved wall panels (FRP) Plastic coated or metal concrete; commercial Fiberglass Reinforced Polyester clad fiberboard; drywall grade vinyl composition Panel; epoxy painted drywall; filled with epoxy; glazed file or sheets block with epoxy paint or glazed surface; plastic laminate surface DRESSING0� OMS Same as above GARBAGE & REFUSE Quarry tile; poured AREAS (Interior) seamless, sealed concrete; commercial grade vinyl composition tile or sheets MOP SERVICE AREA Quarry tile; poured seamless sealed concrete Painted sheetrock Approved wall panels (FRP) Fiberglass Reinforced Polyester Panel; epoxy painted drywall; filled block with epoxy paint or glazed surface Same as above Same as above plus painted sheetrock Plastic coated or metal clad fiberboard; drywall with epoxy; glazed surface; plastic laminate Same as above %-UMPILUMV, oc zniurcemenL _­ rooa Pstamisnment rlan xeview wide -section 111, Part 10 Page 2 of 3 WAREWASNING AREA WALK-IN REFRIGERATORS & FREEZERS Notes: FLOORS Same as above plus commercial grade vinyl composition tile Quarry tile; stainless steel; poured sealed concrete; poured synthetic Stainless steel; aluminum; approved Same as above wall panels (FRP) Fiberglass Reinforced Polyester Panel; epoxy painted drywall; filled block with epoxy paint or glazed surface Aluminum; stainless steel; enamel coated steel (or other corrosion resistant material) Aluminum; stainless steel; enamel coated steel (or other corrosion resistant material) ....... ..........._ ......_Ail_iloor_caverin.gs._in._food..preparatlgr ,._fpod__storage,....u.tensil.-w.ashing...areas,...walk-.in...refrigeration..units,............................... dressing rooms, locker rooms, toilet rooms and vestibules must be smooth, non-absorbent, easily cleanable and durable. Anti -slip floor covering may be used in high traffic areas only. 2. Any alternate materials not listed in the above chart must be submitted for evaluation. 3. There must be coving at base junctures that is compatible to both wall and floor coverings; recommended to provide at least 1/4 inch radius and 4" In height. See figure #10-1. 4. Properly installed, trapped floor drains shall be provided in floors that are waterflushed for cleaning or that receive discharges of water or other fluid waste from equipment or in areas where pressure spray methods for cleaning equipment are used. Floors should be sloped to the drain at least 1/8" per foot. 5. Grouting should be non-absorbent and Impregnated with epoxy, silicone or polyurethane. 6. All walk -In refrigeration units both with prefabricated floors and without, should be Installed in accordance with the manufacturer's Installation requirements. LLS 1. The walls, Including non -supporting partitions, wall coverings and ceilings of walk-in refrigerating units, food preparation areas, equipment washing and utensil washing areas, toilet rooms and vestibules shall be smooth, non-absorbent, and capable of withstanding repeated washing. Light colors are recommended for walls and ceilings. Studs, joists and rafters shall not be exposed In walk-in refrigeration units, food preparation areas, equipment washing and utensil washing areas, toilet rooms and vestibules. Where permitted to be exposed, studs, joists and rafters must be finished. to provide an easily cleanable surface. 2. All alternate materials not listed in the above chart must be submitted for evaluation. 3. Glazed surfaces should be glazed block, or brick or ceramic tile. Grouting must be non-absorbent and Impregnated with epoxy, silicone, polyurethane or an equivalent compound. Concrete block, If used, must be rendered non -porous and smooth by the application of an approved block filler followed by the application of an epoxy -type covering or equivalent. All mortar joints shall be only slightly tooled and suitably finished to render them easily cleanable. 4. Plastic laminated panels may find applications but are not recommended. Joint finishes should be compatible with the wall structure. Voids should be eliminated at joints. CEILINGS Finishes shall be light-colored, smooth, non-absorbent and easily cleanable. Acoustical material free of porous cloth or sponge may be used, provided ventilation Is adequate to minimize soiling. ---'t '�����--���-��•� + ....» .+.+•..vaa..u.aay... i aµal awra.+vr — 1..,4VL1V11 ilii 1 GLLl IV 1 RrV J V1 J to to It site fflfll it 11111118 bit tlNflllif 111fli.lgf If itYl l i Overhaq i1" _ 4„ + t 1 SIIIGome Sealer I f f r iffilt pip 11111/Y11lYtdY tN1141f1ISglllltlfi tlllpffl/1!toff Coving At Base Juncture Figure #10-1 Links on this page: http:llv,A ww.fda.gov/FoodIFoodSafebgRetailFoodProtection/ComnlianceFnfnre"P.manNhir. t t ,.. 1 rt.'.t • •f yr � • `'r� � 1 ' i 4" min. i � `•' r`, +It I I iffilt pip 11111/Y11lYtdY tN1141f1ISglllltlfi tlllpffl/1!toff Coving At Base Juncture Figure #10-1 Links on this page: http:llv,A ww.fda.gov/FoodIFoodSafebgRetailFoodProtection/ComnlianceFnfnre"P.manNhir. O� NO R T/� q - •_. � I ti 3� OCL O � 5 `SSACHUS PUBLIC HEALTH DEPARTMENT Community Development Division November 24, 2010 Darcey Adams, L.I.C.S.W. Northeast Senior Health 600 Cummings Center; Suite 2752 Beverly, MA 01915 Re: Spectrum Adult Day Care, 1820 Turnpike St. Dear Ms. Adams, The Health Department has received the email request from Bud Holden, on behalf of the application for Spectrum Adult Day Care, requesting to be placed on the December 16, 2010 agenda of the Board of Health meeting. At that meeting, you may present evidence in support of the variance request regarding the use of a 2 -bay sink as opposed to a 3 -bay sink FC 4-301.12 (D) (1). This meeting will take place at 7:00 PM, in the second floor selectmen's room of the Town Hall, located at 120 Main Street. In regards to the other deficiency items noted in the plan review, we will review your corrections/explanations upon resubmission. It is recommended that all other items be cleared up prior to the Board of Health meeting, so that we can be sure that all issues needing to be dealt with are clear before the Board. Please also note that it is my understanding that the Community Development Director, Curt Bellavance, along with the Building Inspector, Brian Leathe, has issued your building owner/construction contractor a building permit for the site and he is proceeding at his own peril. The concern for you, as the applicant, is that the Health Department is not aware of what plan was submitted to the Building Department to gain this permit. It is more than likely a plan that does not incorporate the changes to the kitchen area that you will be making in the next several weeks. You may not be aware that this action may have put your company at increased financial risk. Though your contractor may begin construction, moving ahead without an approved kitchen plan Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Spectrum Day Care Hearing is ill-advised. The best general practice is to only approve the final version of a plan. In this case the permit issuance circumvented the standard Community Development "Form U" process, which Community Development designed to keep applicants safe from unnecessary corrective costs. In light of this, it is highly recommended that you consult with your builder to restrict his construction from the internal area of the kitchen. This matter is extremely important, as this establishment will not be permitted to operate until it is in full compliance with 105 CMR 590.000, as it is being constructed without the approval of the Board of Health. Thank you for your cooperation in this important matter of public health. We look forward to working with you as we continue through the building process and throughout the coming years as you strive to bring your services to the citizens of North Andover and we strive to ensure the service of safe food to your clients. Sincerely, — ,,S Sawyer, H�/RS Public Health Director Cc: Mark Rees, Town Manager Curt Bellavance, Community Development Dir. Gerald Brown, Inspector of Buildings Board of Health Chairman and Members Michael J. Moore, R.S., Rapid Response Team Project Coordinator MDPHBEH Food Protection Program Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 PRINTED BY: Pamela DelleChiaie - PLEASE LEAVE IN PRINT-OUT TRAY....... THANK YOU. DelleChiaie, Pamela From: Sawyer, Susan Sent: Wednesday, November 24, 2010 9:38 AM To: Grant, Michele; DelleChiaie, Pamela Subject: FW: Request to appear at Board of Health Meeting From: Edward Holden [mailto:EHOLDEN(a)nhs-healthlink.org] Sent: Tuesday, November 23, 2010 3:15 PM To: DelleChiaie, Pamela; Sawyer, Susan Cc: Ruth Neeman; Darcey Adams; Edward Holden; James Dunne Subject: Request to appear at Board of Health Meeting Dear Ms. Sawyer Referencing your letter dated November 23, 2010, to Darcy Adams in regards to the Spectrum Adult Health Center at 1820 Turnpike St., I would like to request a variance on your note regarding the use of a 2 -bay sink as opposed to a 3 - bay sink. 4-301.12 (D)(1). As you are aware, we have provided you with an opinion from our engineer at R.W.Sullivan. That coupled with the need to create a home -type environment, which is a critical piece of our therapy in the program, is why we feel that a wavier should be granted. That being said, I would greatly appreciate you allowing us to be placed on the agenda to meet with your Board of Health on December 16, 2010 to present our request for variance. If this request is granted, I will be attending with Darcy Adams our Program Director, Ruth Neeman our Architect and a representative from R.W.Sullivan our Engineer. If there is any material I can supply ahead of time, please let me know. Respectfully, Bud Holden System Facilities Director for Northeast Health System This message and its contents are confidential and are intended for the use of the addressee only, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient, this serves as notice that any unauthorized distribution, duplication, printing, or any other use is strictly prohibited. If you feel you have received this email in error, please delete the message and notify the sender so that we may prevent future occurrences. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: hftp://www.sec.state.ma.us/ore/preidx.htm. Please consider the environment before printing this email. I OF I DelleChiaie, Pamela PUBLIC HEALTH DEPARTMENT Community Development Division November 23, 2010 Darcey Adams L.I.C.S.W, Northeast Senior Health 600 Cummings Ctr. Suite 2752 Beverly, MA 01915 Re: Plan Review - Spectrum Adult Day Care, 1820 Turnpike St, Dear Ms. Adams, The Health Department received your completed application submitted for the new food establishment to be known as "Spectraln Adult Day Care" on November 10, 2010. Acting under the authority of MGL Ch. 111, s. 127A, the office of the Board of Health reviewed these plans to determine whether or not the proposed remodeling complies with the 1999 FDA Food Code as revised by Chapter 10 of the State Sanitary Code, 105 CMR 590,000, Minim= Sanitation Standards for Food Establishments. This office is unable to grant its approval of these plans because the proposed construction does not comply with the above cited code. Please refer to the items listed below for those specific items which are not in compliance. The professional document submitted by R.W. Sullivan Engineering has been reviewed as well. We concur with the premise that a two - bay sink is allowed if approved, the need for a grease trap is determined by the Plumbing Inspector and the slop sink placement in the janitor closet is appropriate. Please review the items below and revise as needed and resubmit to the Health Department. Once received, a second review will be conducted and response will be sent to you in hopes to move forward as soon as possible. If the choice is to request a variance in any specific item please note that the next regularly scheduled meeting will be held on December 18, 2010. To be on the agenda, a request must be received at the Health Department by December North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 1 of 4 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Spectrum Day Care Plan Review Nov. 23, 2010 8t" The Board of Health will be provided copies of your submission and you may address the need for the variance. Please be aware that this until an approval letter is generated in this matter, the building permit application can not be signed by this office. Also note that once approval is received, the establishment will not be permitted to operate until it is in full compliance with 105 CMR 590.000. Under section 105 CMR 590.15(B) of the Food Code, you are entitled to a hearing in this matter. Written request for such a hearing must be received by this office within ten days of receipt of this letter. Thank you for your continued cooperation. We look forward to working with you on this project and in the future. ce�y, an Sawye , REHS/R clic Health Director Cc: Curt Bellavance, Community Dev. Dir, Gerald Brown, Inspector of Buildings Dr Thomas Trowbridge, BOH Chairman Michael J. Moore, R.S., Rapid Response Team Project Coordinator MDPH/BEH Food Protection Program 305 South St., Jamaica Plain, MA 02130 phone: 617-983-6754 fax: 617-983-6770 Encl. 3- page Sample Finish Schedule- excerpt from FDA plan review guide Items of Deficiency noted in plan review Code ref. Corrective Action Plan does not address the issue of the free flowing of 2-103.11(B) Please address Health clients into the kitchen area during food service. concerns regarding the There is also no description of how the food in the allowance of refrigerators and cabinets is protected from "unnecessary persons" in unauthorized persons in the "participatory" style the area during food kitchen. Code states Persons unnecessary to the food service. Also, please preparation, storage or warewashing areas address the allowance of establishment operation are not allowed in the food free access of clients to areas except for brief tours etc. all cabinets, utensils, refrigeration and cooking equipment etc. Page 6 #4 description does not fully follow state food 590.003 (D) The Highly susceptible code recommendations "Any staff member showing (3) (a) populations require signs of illness will not be allowed to serve food to exclusions in certain program members". Please review policy for sick I cases. Please submit a Page 2 of 4 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Suectrum Dav Care Plan Review Nov. 23.2010 workers. sick policy noting this. Page 7 #5 a multi surface cleaner cannot be used on food FC4-501.114 Identify type of sanitizer contact surfaces. The food code allows for bleach, and change test strips to quaternary ammonia or iodine to be used. Also a test kit "yes" for the chosen sanitizer must be on site at all times. Page 7 description of cleaning and sanitizer is incomplete. Please elaborate on process "food -service grade sanitizer" This statement does not describe a procedure Page 7 #8 minimizing length of time PHF's are in the No action needed danger zone Answer should describe process ie. that hot foods will -ate-we-and-be.tested...-I€temp-is-iiot above...140-eitherthc... ......... ...... .... ..._.......... ............... ........... .......... ........ ........ ..... ............... ............. ......... .......... ...... .... ............ .................... .... .. food will be reheated to 165 degrees or served inunediately. If cold foods arrive not less than 41 degrees, they will be served immediately or cooled immediately. Page 8 #12 measures taken listed do not indicate level of FC 3-801.11 The Highly susceptible care for high risk populations. ie. no re -service of populations require unopened packages such as butter, ketchup, creamers etc. compliance with this section. Please review and revise answer Page 10 finish schedule not specific as requested on form. FC chapter Please direct questions with le. all splash zones are not washable durable surfaces. 6 Health Dept and revise as Ceilings over food service areas are not wasltable tiles. needed Caving not stated as curved base, usually vinyl. Please see attached "finish schedule" noting The ware washing area is the area around the 3 bay sink. It acceptable finishes per is not N/A FDA guidelines, Please revise Page 13 requests the plumbing boxes be initialed. Often Please have plumber initial the plumber can complete this for the applicant if you are as requested to ensure not sure. This is a confirmation only, compliance to code Page 15 #29 no grease trap. The plumbing code may or Plumbing Investigate and confirm that may not require one with the three -bay sink. Please code inspector does not require a confirm with plumbing inspector grease trap MSDS sheets are not submitted with application. If all Please submit copies for our chemicals are not chosen to date, please submit when able files Page 18 — NO checked on test stri s FC 4-302.14 Please change to yes Equipment No three bay sink. Only 2 -bay shown. We concur with 4-301.12 Please revise as a three -bay Sullivan Eng. That the MA Code allows for 2 bay if (D)(1) or submit a request in allowed. This allowance can be approved by variance by writing to address the BOH the Board of Health, if when presented, the Board deems it at a scheduled mtg. appropriate for this application. Dish machines ee sheet says either liot water with booster Please specify machine type Page 3 of 4 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978,688.9540 Fax: 978.688.8476 Spectrum Day Care Plan Review Nov 23 2010 or chemical. I I Location of handsink may not be accessible by all parties 5203.11 Provide safety and in the kitclien. Possible safety issue. Located very close to Please adequate hand wash stove. check with facility building dept Microwave installation instructions submitted. No trait Please submit spec sheets specifications found in packet. for NSF UL rated e ui ment If a vent is provided, no vent information Please Please inform Health check with with details - uftditig........ ...........—_........................................................... ... ..... ........ ......... ............. ...... .......... dept. No specification sheets for sinks. NA includes sinks in the category of equipment Please submit specification sheets North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 4 of 4 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Lompliance & Entorcement > rbad Establishment -Plan Review Guide - Section III, Part 10 Page 1 of 3 U.S. Food and Drug Administration Home> Food> Food Safety> Retail Food Protection Food Food Establishment Plan Review Guide - Section ill, Part 10 Food and Drug Administration and Conference for Food Protection SECTION III FOOD ESTABLISHMENT GUIDE FOR DESIGN, INSTALLATION, AND CONSTRUCTION RECOMMENDATIONS PART 10 - FINISH SCHEDULE The following chart and footnotes provide acceptable finishes for floors, walls and ceilings, by area: KITCHEN COOKING FOOD PREP BAR FOOD STORAGE OTHER STORAGE TOILET ROOM DRESSING ,ROOMS FL. OOR WALL Ka �f M Quarry tile, poured Stainless steel; aluminum; Ceramic Plastic coated or metal seamless, sealed concrete tile clad fiberboard; Dry-wa epoxy, Glazed surface; Plastic laminate Same as above plus Same as above plus approved wall commercial grade vinyl panels (FRP) Fiberglass Reinforced composition tile. Polyester Panel; epoxy painted composition tile or sheets block with epoxy paint or glazed drywall; filled block with epoxy paint surface or glazed surface Same as above Same as above for areas behind concrete; commercial sinks Same as above plus Approved wall panels (FRP) sealed concrete, Fiberglass Reinforced Polyester commercial grade vinyl Panel; epoxy painted drywall; filled composition tile or sheets block with epoxy paint or glazed surface Same as above Painted sheetrock Quarry tile; poured sealed Approved wall panels (FRP) concrete; commercial Fiberglass Reinforced Polyester grade vinyl composition Panel; epoxy painted drywall; filled file or sheets block with epoxy paint or glazed surface Same as above Painted sheetrock GARBAGE & REFUSE Quarry tile; poured AREAS (Interior) seamless, sealed concrete; commercial grade vinyl composition tile or sheets MOP SERVICE AREA Quarry tile; poured seamless sealed concrete Approved wall panels (FRP) Fiberglass Reinforced Polyester Panel; epoxy painted drywall; filled block with epoxy paint or glazed surface Same as above Same as above Meets building codes Acoustic tile; painted sheetrock Same as above Plastic coated or metal clad fiberboard; drywall with epoxy; glazed surface; plastic Iaminat( Same as above plus painted sheetrock Plastic coated or metal clad fiberboard; drywall with epoxy; glazed surface; plastic laminat( Same as above %-uiiipitunuv a ziuurcement,- rooa rstaotisnment Flan Keview Guide - aecrion 11.1, Nati 10 Nage 2 of 3 WAREWASNING Same as above plus Stainless steel; aluminum; approved Same as above AREA commercial grade vinyl wall panels (FRP) Fiberglass composition tile Reinforced Polyester Panel; epoxy painted drywall; filled block with epoxy paint or glazed surface WALK-IN Quarry tile; stainless Aluminum; stainless steel; enamel Aluminum; stainless REFRIGERATORS & steel; poured sealed coated steel (or other corrosion steel; enamel coated FREEZERS concrete; poured resistant material) steel (or other corrosion synthetic resistant material) Notes: FLOORS ....................................i. Ali...f.00r._coverin.gs...in,.foo....preparatlgn.._f.-0 -torage,....u.tens.il.-washing...ar..eas,...walk-.in...refr.Igeratlon..units, ... ......... ................... dressing rooms, locker rooms, toilet rooms and vestibules must be smooth, non-absorbent, easily cleanable and durable. Antl-slip floor covering may be used in high traffic areas only. 2. Any alternate materials not listed in the above chart must be submitted for evaluation. 3. There must be coving at base junctures that Is compatible to both wall and floor coverings; recommended to provide at least 1/4 inch radius and 4" in height. See figure #10-1. 4. Properly Installed, trapped floor drains shall be provided In floors that are waterflushed for cleaning or that receive discharges of water or other fluid waste from equipment or in areas where pressure spray methods for cleaning equipment are used. Floors should be sloped to the drain at least 1/8" per foot. 5. Grouting should be non-absorbent and Impregnated with epoxy, silicone or polyurethane. 6. All walk-in refrigeration units both with prefabricated floors and without, should be Installed In accordance with the manufacturer's installation requirements. WALLS 1. The walls, Including non -supporting partitions, wall coverings and ceilings of walk-in refrigerating units, food preparation areas, equipment washing and utensil washing areas, toilet rooms and vestibules shall be smooth, non-absorbent, and capable of withstanding repeated washing. Light colors are recommended for walls and ceilings. Studs, joists and rafters shall not be exposed in walk-in refrigeration units, food preparation areas, equipment washing and utensil washing areas, toilet rooms and vestibules. Where permitted to be exposed, studs, joists and rafters must be finished. to provide an easily cleanable surface. 2. All alternate materials not listed in the above chart must be submitted for evaluation. 3. Glazed surfaces should be glazed block, or brick or ceramic tile. Grouting must be non-absorbent and Impregnated with epoxy, silicone, polyurethane or an equivalent compound. Concrete block, if used, must be rendered non -porous and smooth by the application of an approved block filler followed by the application of an epoxy -type covering or equivalent. All mortar joints shall be only slightly tooled and suitably finished to render them easily cleanable. 4. Plastic laminated panels may find applications but are not recommended. Joint finishes should be compatible with the wall structure. Voids should be eliminated at joints. CEILINGS Finishes shall be light-colored, smooth, non-absorbent and easily cleanable. Acoustical material free of porous cloth or sponge may be used, provided ventilation is adequate to minimize soiling. ---'t"•' �� �•••����•••�••• + vv•• ...., ••ivaaas. a.aavaa• a awaa i IL-11 vi,aaut. — 11i•Va1VA1111, 1 Galt IV 1 ab%, J Vl J OMItMat M R Wild 1110114 Mwet I It III fit 114111 If I tg11f11111j r � Oyerh Ann ; i �11 411 , 1 ' 8111CIDne j Sealer Coving A0111- Base Junctures Figure #10-1 Links on this page: http://vN7ww.fda.gov/Food/FoodSafeb4RetailFoodPro#ectioil/ComnlianceEnfn,'ce..mPnthir. 11 n 1 j fr 1 1 1 / 4`tmIn. 44 �, 1 � �f • 1'� � i . 1 i +ti I 1 t � 1 A iltu1r11alhluu111rhrutktru1111nunp1llflE{11p11IIINi t4 Coving A0111- Base Junctures Figure #10-1 Links on this page: http://vN7ww.fda.gov/Food/FoodSafeb4RetailFoodPro#ectioil/ComnlianceEnfn,'ce..mPnthir. 11 n R.W. Sullivan Engineering HVAC. Electrical. Plumbing November 4, 2010 Levi + Wong Design Associates, Inc. 45 Walden Street Concord, MA 01742 Attn: Ruth Neeman, AIA Fire Protection . Code Re: Spectrum —Adult Day Centers Dear Ruth, We reviewed the MA Food Code (105 CMR 590), which contains amendments to the 1999 FDS Food Code. Based on the definition of a Food Establishment contained in 105 CMR 590.002 (attached), the facility is subject to the requirements of the food code since the kitchen contains "facilities to prepare, store, or serve food". However, there are options in the food code for acceptable equipment and layout depending upon the type of operations being conducted. For example, dishwashing equipment can be used if it meets certain aspects of the code rather than a 3 compartment sink (Food Code Section 4-301.12(C)): 4-301.12 Manual Warewashing, Sink Compartment Requirements. (A) Except as specified in ¶ (C) of this section, a sink with at least 3 compartments shall be provided for manually washing, rinsing, and sanitizing equipment and utensils. (B) Sink compartments shall be large enough to accommodate immersion of the largest equipment and utensils. If equipment or utensils are too large for the warewashing sink, a warewashing machine or alternative equipment as specified in ¶ (C) of this section shall be used. (C) Alternative manual warewashing equipment may be used when there are special cleaning needs or constraints and its use is approved. Alternative manual warewashing equipment may include: (1) High-pressure detergent sprayers; (2) Low- or line -pressure spray detergent foamers; (3) Other task -specific cleaning equipment; (4) Brushes or other implements; (5) 2 -compartment sinks as specified under ¶T (D) and (E) of this section; or (6) Receptacles that substitute for the compartments of a multicompartment sink. (D) Before a 2 -compartment sink is used: (1) The permit holder shall have its use approved; and (2) The nature of warewashing shall be limited to batch operations for cleaning kitchenware such as between cutting one type of raw meat and another or cleanup at the end of a shift, and: (a) The number of items to be cleaned shall be limited, (b) The cleaning and sanitizing solutions shall be made up immediately before use and drained immediately after use, and (c) A detergent-sanitizer shall be used to sanitize and shall be applied as specified under § 4-501.115, or The Schrafft Center. 529 Main Street. Suite 203 . Boston. MA 02129.1107 . 617.523.8227 (p) . 617.523.8016 (f) . w%w-RIvsullivan.corn eKraftmaid :I...::..;': 36" Electric Cookto f w/ Microwave hood p 4 pl above .. Kitchen f , 30" Double 151 4 ..,-. F;. Wired wall ovens shelves (5) `.:.: Kraftmaid 34 cabinets t r- ' c° N tora CO Edge is R=2° A4.11 33 — X 152 Hobart 32 dishwasher bx Stainless steel sink ` ow n Staff �r Viking freezer ` ` _ ;; Toilet &,refrigerator :. -- 113 e f = 113 13`-0ll 5'-7" Medical Record 134 Nursing 132 Hand -wash stainless steel sink in P -lam counter Quiet Room 115 6�-01. Corridor ased o 5'-4" 110 opening 'flat metal 111 sing _ 'Janitor's Janito 114 Closet AE 111 :s X55 ed shelf 18" Wired y , ve W1 k 01 shelves (2) &1 Wired } r shelves (5) - ` Stora eO.P.Linen 28" diameter ' Stora .� o ra 1 .j 3ffice water heat rx 12 e 114371, 103 f r 7�8 _ f C C hats 5 ng hih U 9 8 GWB r P wrap stair enclosure F ` W1 I Office 122 W1 s PRINTED BY: Pamela DelleChiaie - PLEASE LEAVE IN PRINT-OUT TRAY....... THANK YOU. DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, November 24, 2010 2:09 PM To: Darcey Adams (dladams@nhs-healthlink.org); Edward Holden (EHOLDEN@nhs- healthlink.org) Cc: 'Michael J. Moore, R.S.'; Rees, Mark; Bellavance, Curt; Brown, Gerald; Grant, Michele; Edwin C. Pease; Francis P. MacMillan, Jr. (fpmacmillan@comcast.net); Joseph McCarthy Qoemccvam@comcast.net); Larry Fixler (Ifboardofhealthnorthandover@yahoo.com); Thomas Trowbridge (tat.boh@comcast.net) Subject: Food - Spectrum Adult Day Care -1820 Turnpike Street, North Andover - Letter dated 11.24.2010 re: Hearing Attachments: 20101124134616770 Importance: High Follow Up Flag: Follow up Flag Status: Flagged Please find attached a letter with attachments from Susan Sawyer, Public Health Director, regarding Spectrum Adult Day Care proposed for 1820 Turnpike Street. Please call the Health Department with any questions. Thank you. &a RvX44, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover, MA o1845 2 Office - 978-688-9540 2 Fax - 978-688-8476 2 Email - p_dellechiaieotownofnorthandover.com -8 Website httD://www.townofnorthandover.com/Paces/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet. "--Anonymous I OF I DelleChiaie, Pamela PUBLIC HEALTH DEPARTMENT Community Development Division November 24, 2010 Darcey Adams, L.I.C.S.W. Northeast Senior Health 600 Cummings Center; Suite 2752 Beverly, MA 01915 Re: Spectrum Adult Day Caret 1820 Turnpike St. Dear Ms. Adams, The Health Department has received the email request from Bud Holden, on behalf of the application for Spectrum Adult Day Care, requesting to be placed on the December 16, 2010 agenda of the Board of Health meeting. At that meeting, you may present evidence in support of the variance request regarding the use of a 2 -bay sink as opposed to a 3 -bay sink FC 4-301.12 (D) (1). This meeting will take place at 7:00 PM, in the second floor selectmen's room of the Town Hall, located at 120 Main Street. In regards to the other deficiency items noted in the plan review, we will review your corrections/explanations upon resubmission. It is recommended that all other items be cleared up prior to the Board of Health meeting, so that we can be sure that all issues needing to be dealt with are clear before the Board. Please also note that it is my understanding that the Community Development Director, Curt Bellavance, along with the Building Inspector, Brian Leathe, has issued your building owner/construction contractor a building permit for the site and he is proceeding at his own peril. The concern for you, as the applicant, is that the Health Department is not aware of what plan was submitted to the Building Department to gain this permit. It is more than likely a plan that does not incorporate the changes to the kitchen area that you will be making in the next several weeks. You may not be aware that this action may have put your company at increased financial risk. Though your contractor may begin construction, moving ahead without an approved kitchen plan Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Spectrum Day Care Hearing is ill-advised. The best general practice is to only approve the final version of a plan. In this case the permit issuance circumvented the standard Community Development "Form U" process, which Community Development designed to keep applicants safe from unnecessary corrective costs. In light of this, it is highly recommended that you consult with your builder to restrict his construction from the internal area of the kitchen. This matter is extremely important, as this establishment will not be permitted to operate until it is in full compliance with 105 CMR 590.000, as it is being constructed without the approval of the Board of Health. Thank you for your cooperation in this important matter of public health. We look forward to working with you as we continue through the building process and throughout the coming years as you strive to bring your services to the citizens of North Andover and we strive to ensure the service of safe food to your clients. Sincerely, us Sawyer, H /RS Public Health Director Cc: Mark Rees, Town Manager Curt Bellavance, Community Development Dir. Gerald Brown, Inspector of Buildings Board of Health Chairman and Members Michael J. Moore, R.S., Rapid Response Team Project Coordinator MDPHBEH Food Protection Program North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 2 of 2 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 PRINTEO BY: Pamela MIA!* - PLEASE LEAVE IN PRINT-OUT TRAY....... THANK YOU. DelleChiale, Pamela From: Sawyer, Susan Sent: Wednesday, November 24, 2070 8:38 AM To: Grant, Michele; DelleChiale, Pamela Subject: FW: Request to appear at Board of Health Meeting ........ . ..... ..... . From: Edward Holden jmaiIto: EHOLDENOnhs-healthlink.ofg] Sent: Tuesday, November 23, 2010 3:15 PM To: DelleChiale, Pamela; Sawyer, Susan Cc: Ruth Neeman; Darcey Adams; Edward Holden; James Dunne Subject: Request to appear at Board of Health Meeting Dear Ms. Sawyer Referencing your letter dated November 23, 2010, to Darcy Adams in regards to the Spectrum Adult Health Center at 1820 Turnpike St., I would like to request a variance on your note regarding the use of a 2 -bay sink as opposed to a 3 - bay sink. 4-301.12 (D)(1). As you are aware, we have provided you with an opinion from our engineer at R.W.Sullivan. That coupled with the need to create a home -type environment, which Is a critical piece of our therapy In the program, Is why we feel that a wavier should be granted. That being said, I would greatly appreciate you allowing us to be placed on the agenda to meet with your Board of Health on December 16, 2010 to present our request for variance. If this request Is granted, I will be attending with Darcy Adams our Program Director, Ruth Neeman our Architect and a representative from R.W.Sullivan our Engineer. If there is any material I can supply ahead of time, please let me know. Respectfully, Bud Holden System Facilities Director for Northeast Health System This message and its contents are confidential and are intended for the use of the addressee only, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient, this serves as notice that any unauthorized distribution, duplication, printing, or any other use is strictly prohibited. If you feel you have received this email in error, please delete the message and notify the sender so that we may prevent future occurrences. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: htto://www.sec.state.ma.us/ore/oreidx.htm. Please consider the environment before printing this email. I OF I DelleChiale. Pamela PUBLIC HEALTH DEPARTMENT Community Development Division November 23, 2010 Darcey Adams W.C.S.W, Northeast Senior Health 600 Cummings Ctr. Suite 2752 Beverly, MA 01915 Re; Plan Review - Spectrum Adult Day Care, 1820 Turnpike St, Dear Ms. Adams, The Health Department received your completed application submitted for the new food establislmtent to be known as "Spectrum Adult Day Care" on November 10, 2010. Acting tinder the authority of MGL Ch. 111, s. 127A, the office of the Board of Health reviewed these plans to determine whether or not the proposed remodeling complies with the 1999 FDA Food Code as revised by Chapter 10 of the State Sanitary Code, 105 CMR 590.000, Minimum Sanitatlon Stun&irdsfor Food Establishments. This office is unable to grant its approval of these plans because the proposed construction does not comply with the above cited code. Please refer to the items listed below for those specific items which are not in compliance. The professional document submitted by R.W. Sullivan Engineering has been reviewed as well. We concur with the premise that a two - bay sink Is allowed if approved, the need for a grease trap is determined by the Plumbing Inspector and the slop sink placement in the janitor closet is appropriate. Please review the items below and revise as needed and resubmit to the Health Department. Once received, a second review will be conducted and response will be sent to you In hopes to move forward as soon as possible. If the choice is to request a variance in any specific item please note that the next regularly scheduled meeting will be held ort December 18, 2010. To be on the agenda, a request must be received at the Health Department by December North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 1 of 4 North Andover, MA 01845 Phone; 978.688.9540 Fax; 978.688.8476 Spectrum Day Care Plan Review Nov. 23, 2010 814. The Board of Health will be provided copies of your submission and you may address the need for the variance. Please be aware that this until an approval letter is generated in this matter, the building permit application can not be signed by this office, Also note that once approval is received, the establishment will not be permitted to operate until it is in full compliance with 105 CMR 590.000. Under section 105 CMR 590.15(B) of the Food Code, you are entitled to a hearing in this matter. Written request for such a hearing must be received by this office within ten days of receipt of this letter, Thank you for your continued cooperation. We look forward to working with you on this project and In the future. c�y, an Sawye , RFHS/R clic Health Director Cc: Curt Bellavance, Community Dev. Dir. Gerald Brown, Inspector of Buildings Dr Thomas Trowbridge, BOH Chairman Michael J. Moore, R.S., Rapid Response Team Project Coordinator MDPH/BEH Food Protection Program 305 South St., Jamaica Plain, MA 02130 phone: 617-983-6754 fax: 617-983-6770 Encl. 3- page Sample Finish Schedule- excerpt from FDA plan review guide Reins of Deficient noted in plan review Code ref. Corrective Action Plan does not address the issue of the free flowing of 2-103.11(B) Please address Health clients into the kitchen area during food service. concerns regarding the There is also no description of how the food in the allowance of refrigerators and cabinets is protected from "unnecessary persons" in unauthorized persons in the "participatory" style the area during food kitchen. Code states Persons unnecessary to the food service. Also, please preparation, storage or warewashing areas address the allowance of establishment operation are not allowed In the food five access of clients to areas except for brief tours etc. all cabinets, utensils, refrigeration and cooking equipment etc. Page 6 #4 description does not fully follow state food 590.003 (D) The Highly susceptible code recommendations "Any staff member showing (3) (a) populations require signs of illness will not be allowed to serve food to exclusions in certain ro am members". Please review policy for sick cases. Please submit a Page 2 of 4 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Sueet.rum Day Care Plan Review Nov. 23. 20 10 workers. sick policy noting this, Page 7 #5 a multi surface cleaner cannot be used on food FC4»501.114 Identify typo of sanitizer contact surfaces. The food code allows for bleach, and change test strips to quaternary ammonia or iodine to be used. Also a test kit "yes" for the chosen sanitizes must be on site at all tines, Page 7 description of cleaning and sanitizer is incomplete. Please elaborate on process "food -service grade sanitizes" This statement does not describe a procedure Page 7 #8 minimizing length of time PHF's are in the No action needed danger zone Answer should describe process ie, that hot foods will - -anwo-and-be-tested.-I€temp-isnot above-i-40-eitherthe — food will be reheated to 165 degrees or served Immediately. If cold foods arrive not less than 41 degrees, they will be sewed Immediately or cooled immediately, Page 8 #12 measures taken listed do not indicate level of FC 3-801.11 The Highly susceptible care for high risk populations. ie. no re -service of populations requite unopened packages suoh as butter, ketchup, creamers etc, compliance with this section, Please review and revise answer Page 10 finish schedule not specific as requested on form. TC chapter Please direot questions witll Ie, all splash zones are not washable durable surfaces. 6 Health Dept and revise as Ceilings over food service areas are not washable tiles, needed Coving not stated as curved base, usually vinyl. Please see attached "finish schedule" noting The ware washing area is the area around the 3 bay sink. It acceptable finishes per Is not N/A FDA guidelines. Please revise Page 13 requests the plumbing boxes be initialed. Often Please have plumber initial the plumber can complete this for the applicant If you are as requested to ensure not sure. This is a confirmation only, compliance to code Page 15 #29 no grease trap. The plumbing code may or Plumbing Investigate and confirm that may not require one with the three -bay sink. Please code Inspector does not require a confirm with plumbing Inspector grease trap MSDS sheets are not submitted with application. If all Please submit copies for our chemicals ate not chosen to date please submit -when able files Pae 18 -- NO checked on test stri s FC 4-302.14 Please change to yes B ui ment No three bay sink, Only 2 -bay shown. We concur with 4-301.12 please revise as a three -bay Sullivan Eng. That the MA Code allows for 2 bay if (D)(1) or submit a request in allowed. This allowance can be approved by variance by writing to address the BOH the Board of Health, If when presented, the Board deems it at a scheduled nttg. appropriate for this application. Dish machine spec sheet says either hot water with booster I Pleasespecify machine type Page 3 of 4 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978,688.9540 Fax: 978.688.8476 Snectrum nay Care Pima Roviow Nnv 'M I)AI A or chemical, Location of handsink may not be accessible by all parties 5203.11 Provide safety and In the kitchen. Possible safety issue. Located very close to please adequate hand wash stove. check with facility blailding dept Microwave installation Instructions submitted. No unit Please submit spec sheots specifications found in packet, for NSF UL rated e ui ment If a vent is provided, no vent information Please Please inform Health cheelc with with details b�ri11t111��— cle t, No specification sheets for sinks. NA includes sinks in the category of equipment Please submit specification sheets North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 4 of 4 North Andover, MA 01845 Plione: 978.688.9540 Fax: 978.688.8476 c:oinpliai;ce & EIA01=11lent > 1�ood Establisltnient Plan Review Guide - Section III, Part 10 Page I of 3 FM US. Food and Drug Administration me>o�d,> FoodSafety> Retali Food eM ectlon Food Food Establishment Plan Review Guide - Section IiI, Part 10 Food and Drug Administration and Conference for Food Protection 2000 - SECTION III FOOD ESTABLISHMENT GUIDE FOR DESIGN, INSTALLATION, AND CONSTRUCTION RECOMMENDATIONS PART 10 - FIiIISH SCHEDULE The following chart and footnotes provide acceptable finishes for floors, walls and ceilings, by area: M" Quarry tile, poured Stainless steel; aluminum; Ceramic Plastic coated or metal seamless, sealed concrete tile clad fiberboard; Dry-wa commercial grade vinyl Panel; epoxy painted drywall; filled epoxy, Glazed surface; surface Plastic laminate Same as above plus Same as above plus approved wall Some as above commercial grade vinyl panels (FRP) Fiberglass Reinforced Panel; epoxy painted drywall; filled composition tile. Polyester Panel; epoxy painted surface drywall; filled block with epoxy paint -Painted sheetrock or glazed surface Same as above Same as above for areas behind Meets building codes sinks Same as above plus Approved wall panels (FRP) sealed concrete, Fiberglass Reinforced Polyester commercial grade vinyl Panel; epoxy painted drywall; filled composition tile or sheets block with epoxy paint or glazed surface Same as above Painted sheetrock Quarry tile; poured sealed Approved wall panels (FRP) concrete; commercial Fiberglass Reinforced Polyester grade vinyl composition Panel; epoxy painted drywall; filled file or sheets block with epoxy paint or glazed surface Same as above -Painted sheetrock GARBAGE& REFUSE Quarry tile; poured AREAS (Interior) seamless, sealed concrete; commercial grade vinyl composition tile or sheets M!lp SERVICE AREA Quarry tile; poured seamless sealed concrete Approved wall panels (FRP) Fiberglass Reinforced Polyester Panel; epoxy painted drywall; filled block with epoxy paint or glazed surface Same as above Acoustic tile; painted sheetrock Same as above Plastic coated or metal clad fiberboard; drywall with epoxy; glazed surface, plastic Iaminat( Same as above plus painted sheetrock Plastic coated or metal clad fiberboard; drywall with epoxy; glazed surface; plastic laminat( Same as above http://www.fda,p-ov/FoodIFoodSafetvIRetailFoodProtectinnlC_nninlisinr.PRiofnrt-.Pmpnthir- t 1)i*)tonin wiikI),ituiue a miiiurcenient.- rooa Astantisnment titan xeview (juide -Section 111, Part 10 Page Z of 3 WAREWMING Same as above plus Stainless steel; aluminum; approved Same as above ARM commercial grade vinyl wall panels (FRP) Fiberglass composition the Reinforced Polyester Panel; epoxy painted drywall; filled block with epoxy paint or glazed surface W ,ALK-YN, Quarry tile; stainless Aluminum; stainless steel; enamel Aluminum; stainless REFRIGERATORS & steel; poured sealed coated steel (or other corrosion steel; enamel coated FREEZERS concrete; poured resistant material) steel (or other corrosion synthetic resistant material) Notes: FLOORS 1. All floor coverings In foqd,.prg9=g�,,hq-atoraQe,-utensll-washing_areasi-walkin_refrlgeration-units, dressing rooms, locker rooms, toilet rooms and vestibules must be smooth, non-absorbent, easily cleanable and durable. Antl-sllp floor covering may be used In high traffic areas only. 2. Any alternate materials not listed In the above chart must be submitted for evaluation. 3. There must be coving at base junctures that is compatible to both wall and floor coverings; recommended to provide at least 1/4 inch radius and 4" In height. See figure #10-1. 4. Properly installed, trapped floor drains shall be provided In floors that are waterfiushed for cleaning or that receive discharges of water or other fluid waste from equipment or In areas where pressure spray methods for cleaning equipment are used. Floors should be sloped to the drain at least 1/8" per foot. S. Grouting should be nonabsorbent and impregnated with epoxy, silicone or polyurethane. 6. All walk-in refrigeration units both with prefabricated floors and without, should be Installed in accordance with the manufacturer's Installation requirements. WALL 1. The wails, Including non -supporting partitions, wall coverings and ceilings of walk-in refrigerating units, food preparation areas, equipment washing and utensil washing areas, toilet rooms and vestibules shall be smooth, non-absorbent, and capable of withstanding repeated washing. Light colors are recommended for walls and ceilings. Studs, joists and rafters shall not be exposed In walk -In refrigeration units, food preparation areas, equipment washing and utensil washing areas, toilet rooms and vestibules. Where permitted to be exposed, studs, joists and rafters must be finished -to provide an easily cleanable surface, 2. All alternate materials not listed In the above chart must be submitted for evaluation. 3. Glazed surfaces should be glazed block, or brick or ceramic tile. Grouting must be non-absorbent and Impregnated with epoxy, silicone, polyurethane or an equivalent compound. Concrete block, If used, must be rendered non -porous and smooth by the application of an approved block filter followed by the application of an epoxy -type covering or equivalent. All mortar joints shall be only slightly tooled and suitably finished to render them easily cleanable. 4. Plastic laminated panels may find applications but are not recommended. Joint finishes should be compatible with the wall structure. Voids should be eliminated at joints. CEILINGS Finishes shall be light-colored, smooth, non-absorbent and easily cleanable, Acoustical material free of porous cloth or sponge may be used, provided ventilation Is adequate to minimize soiling. http;//www.fda.govIFood/FoodSafety/R.etailFoodProtection/ComulianceEnforcement/ue... 11 /22/201 n --"P---•- '•••"�►�•»�••• • VVN NYN1Vt•41s„ 1V11Y 11/N1 A%V r1VYr vLituV u�.Vt1VJ.1 ILI) 1 ALL IV A agV J Vl J oil Oil 1tN111n"iffillfltlilitliflilllt1111t11f I11111.IN111milt ♦ 1 r , t Overhang 1" _ 4 , i 1 Silieor�s Sealer 1 � � 1 / t,unu11it11111►wul,fulfttltlultnullttlltllll+illHnLAi� I Coving At Base Junctures Figure #10-1 Links on this page: http://www.fda.govIFoodIFoodSafe"otaitFoodPirotectionIConipliaticeRnfoleemendue... 11/22/2010 1 .. t 411 min, .• �1,„ / .�.;.,�, I its 1 1 1 t,unu11it11111►wul,fulfttltlultnullttlltllll+illHnLAi� I Coving At Base Junctures Figure #10-1 Links on this page: http://www.fda.govIFoodIFoodSafe"otaitFoodPirotectionIConipliaticeRnfoleemendue... 11/22/2010 DelleChiaie, Pamela From: Sent: To: Cc: Subject: Attachments: Jean Enright Town of North Andover Planning Department 1600 Osgood St. Bldg. 20, Suite 2-36 North Andover, Ma 01845 Enright, Jean Wednesday, November 10, 2010 4:14 PM Carney, John; McCarthy, Fred; Brown, Gerald; Willis, Gene; Hughes, Jennifer; Tymon, Judy; Fitzgibbons, Karen; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan; Willett, Tim Bellavance, Curt; Bradshaw, Joyce Adult Day Care TRC Meeting Minutes Attached Adult Day Care 1820 Turnpike Street Meeting Minutes.docx 978-688-9535 phone 978-688-9542 fax ienright@townofnorthandover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. reviewed. Also, asked for parking space data for each tenant and stated that G. Brown may want to make sure the amount of spaces meets the requirements. Jennifer: This facility is outside Conservation jurisdiction but recommends that an engineer do some calculations to make sure the addition of the patio does not have an impact on the stormwater runoff. She also asked Gino Fedora, Property Owner, to work with her department to wrap up some outstanding conservation issues for the building. Inquired about location of employee parking and if there would be "drop off spaces". The applicant stated the employees are normally asked to use parking furthest away from entrance and that fifteen minute drop off spaces may be implemented. Gerry: Verified that the elderly patients will only be partially impaired and that they can get out of a building in an emergency and that the gate on the patio will be a second means of egress in an emergency situation. Requested a list of equipment to be used in the kitchen. There will be an electric stove with a microwave combo unit that vents out through the ceiling to a side wall, a refrigerator, dishwasher, and two residential ovens. There will not be any fryolators or grills Michele: Requested a menu and equipment specifications for her review. John: Informed the applicant that we are a Project Lifesaver Community and that we always have someone on duty that is trained to handle emergency calls for this type of facility. Requested that all issues or emergency calls are made without delay. The Police Department has reviewed the plan and visited the site and does not have any public safety concerns with the project. Fred: Asked how often fire drills would be performed. Response was that they would be at least monthly and would sometimes be announced and sometimes unannounced. Fred recommended that they develop a written plan for egress in the event of a fire alarm, a plan in the event there is inclement weather during an alarm, that a list of medications and any health issues be available for each patient, and verified that they will be a 911 facility in the event of an emergency. Applicant stated that there is an existing fire system and that pull stations and flashing lights would be installed. The building is fully sprinkled and a plan will be submitted. Emergency lighting, horns, and strobe light will be installed on outside patio area. Fred also recommended that a, disaster plan be established that includes offsite transportation be established. Applicant has designed 15 second delayed egress with alarm on outside doors and requested Fred review to determine if a 30 second delay could be approved. Karen: sent comments: she has reviewed the application and the Clerk's Office will have no jurisdiction on this project. The applicant asked what the next steps are and an estimate on timeframe. Gerry responded that he believed the process should go very quickly and that he would need three sets of plans and a forth of just the kitchen area for Health. The Town Planner, Conservation, and Health would review and need to sign off on the application form. Jennifer will review the information submitted to Judy in regards to how the increased stormwater runoff, due to the increase impervious surface of the patio, will be treated. Adult Day Care 1820 Turnpike Street Meeting Minutes A* V 0DelleChiaie, Pamela From: Enright, Jean Sent: Friday, November 05, 2010 11:10 AM To: Tymon, Judy; Carney, John; Fitzgibbons, Karen; McCarthy, Fred; Sawyer, Susan; Hughes, Jennifer; Willett, Tim; Willis, Gene; Brown, Gerald; Grant, Michele; DelleChiaie, Pamela Cc: Bellavance, Curt; Enright, Jean; Bradshaw, Joyce; 'Sherrill O'Gorman' Subject: TRC Meeting for the proposed Adult Day Care 11/10/2010 Attachments: Updated Adult Day Care Plans.pdf The applicant has submitted the attached updated plans for your review. Jean Enright Town of North Andover Planning Deptartment 1600 Osgood St. Bldg. 20, Suite 2-36 North Andover, Ma 01845 978-688-9535 phone 978-688-9542 fax 0eanenright@townofnorthandover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. 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U t O � II W r � N co Z cn M r co Q a(D .0c� N O CL (n 'o C7 lL�- L N cc m .0 Q C fN0 _ Q C7 H 'o F- r E a� L N E 0 o o E avQ cc L L�a� 3 V Ems' c OWN O c 'm TO O c 'vi 0-:2 N Z— d o U O Ma a(D .0c� N O CL (n 'o C7 lL�- L N cc m .0 Q C fN0 _ Q C7 H 'o F- DelleChiaie, Pamela From: Sherrill O'Gorman [SOGORMAN@nhs-healthlink.org] Sent: Friday, November 05, 2010 4:10 PM To: Alfred Muccini; Ruth Neeman; Carney, John; Darcey Adams; Edward Holden; McCarthy, Fred; Brown, Gerald; Willis, Gene; Enright, Jean; Hughes, Jennifer; Tymon, Judy; Fitzgibbons, Karen; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan; Willett, Tim; ginofodera7 @yahoo.com Cc: Bellavance, Curt; Bradshaw, Joyce Subject: Re: TRC Meeting for the proposed Adult Day Care 11/10/2010 Good Afternoon All, Please be advised The Alzheimer's Association will be preparing a letter explaining the necessity of the therapeutic kitchen for Spectrum North Andover. It is our goal to present the letter on or before the meeting scheduled for 11/10. Please let me know if you have further questions. Kind Regards, Sherrill O'Gorman ShevdU O'C'�.civurtan Administrative Assistant for Community Programs Northeast Senior Health 600 Cummings Center Suite 275 Z Beverly MA 01915 978-921-1697 ext. 227 978-921-1624 fax sogorman@nhs-healthlink.org >>> "Enright, Jean"<ienright@townofnorthandover.com> 11/5/2010 11:10 AM >>> The applicant has submitted the attached updated plans for your review. Jean Enright Town of North Andover Planning Deptartment 1600 Osgood St. Bldg. 20, Suite 2-36 North Andover, Ma 01845 978-688-9535 phone 978-688-9542 fax ieanenright@townofnorthandover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. This message and its contents are confidential and are intended for the use of the addressee only, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient, this serves as notice that any unauthorized distribution, duplication, printing, or any other use is strictly prohibited. If you feel you have received this email in error, please delete the message and notify the sender so that we may prevent future occurrences. I)AeChiaie, Pamela From: Enright, Jean Sent: Tuesday, November 02, 2010 3:44 PM To: Tymon, Judy; Carney, John; Fitzgibbons, Karen; McCarthy, Fred; Sawyer, Susan; Hughes, Jennifer; Willett, Tim; Willis, Gene; Brown, Gerald; Grant, Michele; DelleChiaie, Pamela Cc: Bellavance, Curt; Enright, Jean; Bradshaw, Joyce; 'Sherrill O'Gorman' Subject: TRC Meeting ---Adult Day Care Facility Attachments: Adult Day Care Ceiling Plan.pdf; Adult Day Care Floor Plan.pdf; Adult Day Care TRC Application.pdf A TRC Meeting has been scheduled for November 10 at 10:00am for a proposed Adult Day Care Facility serving people and families coping with Alzheimer's disease and related disorders. The facility is to be located at 1820 Turnpike Street. The TRC application, floor plan, and ceiling plan are attached for your review. I am awaiting a parking plan and will forward upon receipt. Please advise if you will be able to attend the meeting. Thank you. Jean Enright Town of North Andover Planning Deptartment 1600 Osgood St. Bldg. 20, Suite 2-36 North Andover, Ma 01845 978-688-9535 phone 978-688-9542 fax ieanenright@townofnorthandover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.see.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. Osgood Landing, Town of North Andover, 1600 Osgood Street —Bldg. 20, Suite 2-36, North Andover, MA 01845 Phone: 978-688-9535 Fax 978-688-9542 1.)ioditocv;ownofnorthandover Planning Department Technical Review Committee Meeting (information form). Please submit this information to -the North Andover Planning Department do Mary Ippolito no later than the Wednesday preceding the scheduled Technical Review Committee Meeting. Applicant will confirm with Ms Ippolito the date and time of the meeting on Wednesday prior to the actual TRC meeting date. It is important that either the applicant or the applicant's representative attend the TRC meeting. Please type or print clearly. I. Applicant Northeast Senior Health DBA Spectrum Adult Day Health N. Andover 2.Applicanfs Address: 600 Cummings Center, suite 275Z Beverly MA 01915 3.Applicant's phone number 978-921-1697 ext 226 4.Address of proposed location: 1820 Turnpike Street North Andover, MA, 01845 S.Zoning District of proposed location: General Business 6. Square Footage of proposed project: 4745 7.Number of employees 6 at opening 20 when program is full 8.Hours of operation Monday through Friday 8am-5pm 9,Parldng requirements Parking for staff and drop-off spots for families and vans - 10. 1 ans10.1 s there food preparation required? no 11 Description of project: The program is an adult day health center serving people and families coping with Alzheimer's disease and related disorders. The program provides a variety of skilled services, therapeutic activities, clinical social work support, Transpdrtation and information/referral. If you are proposing to open a business in an existing location please submit a copy of a site plan (you can obtain this from the landlord). It is not the intention of the Planning Department to have the applicant incur Architectural or Engineering expenses for submittal of a plan of land. Mi/desktopfIRCform Grant, Michele From: Sawyer, Susan Sent: Monday, November 08, 2010 10:55 AM To: 'Sherrill O'Gorman' Cc: Grant, Michele Subject: RE: TRC Meeting for the proposed Adult Day Care 11/10/2010 Hello Sherrill, Michele Grant, the Health Inspector, will be attending the TRC on Wednesday. If you would like to submit your application on that day to the Health Department that would be great. As was mentioned to Darcy Adams at our meeting on October 7t" a complete application would include at minimum. - Check for $40 review - 3 page food establishment application (on our website) - 17 page food establishment form (on our website) - All equipment specifications - Menu - Food handlers licenses - Plan of establishment ( details for plan requirements on the establishment form) This application can be submitted at any time, but approval from the Health Dept must be achieved prior to the issuance of a building permit. Sorry I will be unable to attend. Thank you. Susan Sawyer Health Director 978 688-9540 From: Sherrill O'Gorman [mailto:SOGORMAN@nhs-healthlink.orgl Sent: Friday, November 05, 2010 4:10 PM To: Alfred Muccini; Ruth Neeman; Carney, John; Darcey Adams; Edward Holden; McCarthy, Fred; Brown, Gerald; Willis, Gene; Enright, Jean; Hughes, Jennifer; Tymon, Judy; Fitzgibbons, Karen; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan; Willett, Tim; ginofodera70yahoo.com Cc: Bellavance, Curt; Bradshaw, Joyce Subject: Re: TRC Meeting for the proposed Adult Day Care 11/10/2010 Good Afternoon All, Please be advised The Alzheimer's Association will be preparing a letter explaining the necessity of the therapeutic kitchen for Spectrum North Andover. It is our goal to present the letter on or before the meeting scheduled for 11/10. Please let me know if you have further questions. Kind Regards, Sherrill O'Gorman shevf u i91 goXi ma Administrative Assistant for Community Programs Northeast Senior Health 600 Cummings Center Suite 275 Z Beverly MA 01915 978-921-1697 ext. 227 978-901-1624 fax sq gorman@nhs-healthlink.org >>> "Enright, Jean"<jenright@townofnorthandover.com> 11/5/2010 11:10 AM >>> The applicant has submitted the attached updated plans for your review. Jean Enright Town of North Andover Planning Deptartment 1600 Osgood St. Bldg. 20, Suite 2-36 North Andover, Ma 01845 978-688-9535 phone 978-688-9542 fax ieanenrit?ht@townofnorthandover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. This message and its contents are confidential and are intended for the use of the addressee only, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient, this serves as notice that any unauthorized distribution, duplication, printing, or any other use is strictly prohibited. If you feel you have received this email in error, please delete the message and notify the sender so that we may prevent future occurrences. ot t Ng� � 1 gIr y ^ " Vll I,rs1 o a\ 1•t� .rte � C'! ` \L 106• V, i �% �•/ In 1 4 O �1 j a l- �s— �• 1 y o L -'� u cr - o 11 0 114f ig F � $i C1 i f1i � � O1N• 1.y� ^< m h i _ - ib Adom "40 low 1 •` Q' Tri 67SOI0Ye , 1�" iri S�, • M �j J ', _ R ._..�.-------'�'— 6 C R • 1• S i7 �Q i K QQ a a ot t Ng� � 1 gIr y ^ " Vll I,rs1 o a\ 1•t� .rte � C'! ` \L 106• V, i �% �•/ In 1 4 O �1 j a l- �s— �• 1 y o L -'� u cr 'lb �J 11 ` ` b b3y vj -\ '�\• rem 4a`� �? '1.a. 4sz, •�L \\ ���\cccLLLyyy `� t 'PC 46L PROPOSCO COOV+o SMALL 9E VERTKAL ORAWYE CURS ja \ ~\ •1. s ' olto,CfCO / V 439'wYl4'Iv 251.9E' , �` �• � ` s sac x - F m h i 'lb �J 11 ` ` b b3y vj -\ '�\• rem 4a`� �? '1.a. 4sz, •�L \\ ���\cccLLLyyy `� t 'PC 46L PROPOSCO COOV+o SMALL 9E VERTKAL ORAWYE CURS ja \ ~\ •1. s ' olto,CfCO / V 439'wYl4'Iv 251.9E' , �` �• � ` s sac x - 6- I F NORTANDOVER OWN 0 --- --- R.W. Sullivan Engineering R.W. Sullivan Engineering HVAC. Electrical. Plumbing November 4, 2010 Levi + Wong Design Associates, Inc. 45 Walden Street Concord, MA 01742 Attn: Ruth Neeman, AIA Fire Protection . Code Re: Spectrum — Adult Day Centers Dear Ruth, We reviewed the MA Food Code (105 CMR 590), which contains amendments to the 1999 FDS Food Code. Based on the definition of a Food Establishment contained in 105 CMR 590.002 (attached), the facility is subject to the requirements of the food code since the kitchen contains "facilities to prepare, store, or serve food". However, there are options in the food code for acceptable equipment and layout depending upon the type of operations being conducted. For example, dishwashing equipment can be used if it meets certain aspects of the code rather than a 3 compartment sink (Food Code Section 4-301.12(C)): 4-301.12 Manual Warewashing, Sink Compartment Requirements. (A) Except as specified in ¶ (C) of this section, a sink with at least 3 compartments shall be provided for manually washing, rinsing, and sanitizing equipment and utensils. (B) Sink compartments shall be large enough to accommodate immersion of the largest equipment and utensils. If equipment or utensils are too large for the warewashing sink, a warewashing machine or alternative equipment as specified in ¶ (C) of this section shall be used. (C) Alternative manual warewashing equipment may be used when there are special cleaning needs or constraints and its use is approved. Alternative manual warewashing equipment may include: (1) High-pressure detergent sprayers; (2) Low- or line -pressure spray detergent foamers; (3) Other task -specific cleaning equipment; (4) Brushes or other implements; (5) 2 -compartment sinks as specified under ¶¶ (D) and (E) of this section; or (6) Receptacles that substitute for the compartments of a multicompartment sink. (D) Before a 2 -compartment sink is used: (1) The permit holder shall have its use approved; and (2) The nature of warewashing shall be limited to batch operations for cleaning kitchenware such as between cutting one type of raw meat and another or cleanup at the end of a shift, and: (a) The number of items to be cleaned shall be limited, (b) The cleaning and sanitizing solutions shall be made up immediately before use and drained immediately after use, and (c) A detergent- san itizer shall be used to sanitize and shall be applied as specified under § 4-501.115, or The Schrafft Center, 529 Main Street, Suite 203. Boston, MA 02129-1107. 617.523.8227 (p) . 617.523.8016 (f) . www.rwsuilivan.com ;ruts (d) A hot water sanitization immersion step shall be used as specified under ¶ 4-603.16(C). (E) A 2 -compartment sink may not be used for warewashing operations where cleaning and sanitizing solutions are used for a continuous or intermittent flow of kitchenware or tableware in an ongoing warewashing process. Since the building is classified as 1-4, the building code classification is an institutional facility. The plumbing code Section 10.09(2) requires the grease trap for certain sinks and the dishwasher in the following facilities including institutional or clubs with kitchens: (2) Grease Traps and Interceptors When Installed Inside of Buildings. (a) Grease traps and interceptors shall be installed in the following establishments to prevent the discharge of fats, oils, and grease into the drainage system: 1. restaurants; 2. cafeterias; 3. hotels; 4. hospitals; 5. institutional facilities; 6. factories; 7. clubs; 8. bars where food is prepared and served; and 9. all commercial kitchens; food and meat packing and processing establishments; super markets, bakeries, and other establishments where fats, oils and grease may be introduced into the building sanitary drainage system in quantities that can cause waste line obstruction or hinder sewage disposal, (b) Grease traps and interceptors may be installed on individual fixture waste branches. (c) Plumbing fixtures to be protected by grease traps and interceptors shall include: 1. pot sinks (with bowl depths exceeding ten inches); 2. scullery sinks (with bowl depths exceeding ten inches), 3. floor drains; 4. floor sinks; 5. automatic dishwashers regardless of temperature; 6. pre -rinse sinks; 7. soup kettles or similar devices; 8. wok stations; and 9. automatic hood wash units The building requires a mop sink per the plumbing code. The food code also requires that a service sink be provided in a convenient location. This requirement is somewhat obscure and subject to the judgement of the health inspector. 5-203.13 Service Sink. At least I service sink or l curbed cleaning facility equipped with a floor drain shall be provided and conveniently located for the cleaning of mops or similar wet floor cleaning tools and for the disposal of mop water and similar liquid waste. Finally, we were not able to find any requirement in the food code that would require a physical barrier between the kitchen and the dining area. If you have any questions please do not hesitate to call. Sincerely, SULLIVAN CODE GROUP DON E. CONTOIS, P.E. J:\2005\7317-00\0_Files\Reports\Northshore Senior Health\Kitchen Health Code Letter.doc 105 CMR: DEPARTMENT OF PUBLIC HEALTH 590.002: continued Covered Food Establishment, for purposes of 105 CMR 590.009(G): Posting of Calorie Information, means a food establishment that: (1) Is engaged in the business of preparing and selling food items for immediate human consumption on the premises or off the premises, including but not limited to a restaurant, cafe, cafeteria, cocktail lounge or bar, coffee or pastry shop, and, (2) Offers for sale substantially the same menu items, utilizing menus, menu boards or food item tags, in servings that are standardized for portion size and content, and (3) Is one of a group of 20 or more food establishments doing business in Massachusetts that: (a) operates under common ownership or control, or (b) operates as franchised outlets of a parent business, or (c) does business under the same name. Covered food establishment does not include the following: 1. Kitchen preparing food for students, clients, patients, residents, or inmates in a school, camp, licensed health care facility, day care facility, assisted living residence, group residence, prison or other institutional setting in which food is prepared and/or served to a specific population; 2. Retail food establishment primarily engaged in the retail sale of fresh produce and packaged foods, such as a market, grocery store, or convenience store, except for a separately -owned covered food establishment to which 105 CMR 590.002: Purpose and Definitions otherwise applies that is located in such retail food establishment; 3. Private club or membership association; 4. Temporary food establishment; 5. Caterer: or 6. Vending machine. Critical Item means, in addition to the definition set forth in the federal 1999 Food Code, any other violation of 105 CMR 590.000 so designated by the board of health after written notice to the permit holder that the violation has the potential to seriously affect the public health. DEP means the Massachusetts Department of Environmental Protection. Department means the Massachusetts Department of Public Health. Director means the Director of the Division of Food and Drugs. Drinking Water means water that meets 310 CMR 22.00: Drinking Water. FC -Re ug latory Authority_ means for the purpose of 105 CMR 590.000, in addition to the definition set forth in FC 1-201.10, the board of health. Food Code Interventions means the following set of preventive measures: (1) Demonstration of Knowledge (2) Employee Health (3) Hands as a Vehicle of Contamination (4) Time -temperature Relationships (5) Consumer Advisory Food Employee means an individual working with unpackaged food, food equipment or utensils, or food - contact surfaces. This could include the owner, individual having supervisory or management duties, person on the payroll, family member, volunteer, person performing work under contractual agreement, or any other person working in a food establishment. In health care facilities, this includes those who set up trays for patients to eat, feed or assist patients in eating, give oral medications or give mouth/denture care. In day care operations, schools and long term care facilities, which are licensed food establishments, this includes those who prepare food for clients to eat, feed or assist clients in eating or give oral medications. Food Establishment. (1) Food establishment means an operation that stores, prepares, packages, serves, vends, or otherwise provides food for human consumption: 6/12/09 105 CMR — 3577 l 0 590.002: continued 6/12/09 105 CMR: DEPARTMENT OF PUBLIC HEALTH (a) Such as a restaurant; satellite or catered feeding location when these locations are equipped with facilities to prepare, store or serve food; catering operation if the operation provides food directly to a consumer or to a conveyance used to transport people: market; retail bakery; vending location; institution; food bank; residential kitchens in bed and breakfast homes and bed and breakfast establishments; residential kitchens for retail sale and, (b) That relinquishes possession of food to a consumer directly, or indirectly through a delivery service such as home delivery of grocery orders or restaurant takeout orders, or delivery service that is provided by common carriers. (FC) (2) Food establishment includes: (a) An element of the operation such as a transportation vehicle or a central preparation facility that supplies a vending location or satellite feeding location unless the vending or feeding location is permitted by the regulatory authority; and (FC) (b) An operation that is conducted in a mobile, stationary, temporary, or permanent facility or location; where consumption is on or off the premises; and regardless of whether there is a charge for the food. (3) Food establishment does not include: (a) A produce stand that only offers whole, uncut fresh fruits and vegetables; (b) A food processing plant; (c) A kitchen in a private home if only food that is not potentially hazardous is prepared for sale or service at a function such as a religious or charitable organization's bake sale; (d) A kitchen in a private home that prepares food for distribution to a charitable facility in accordance with M.G.L c. 94, § 328; (e) An area where food that is prepared as specified in 105 CMR 590.002: Food Establishment(3)(c) is sold or offered for human consumption; (f) A kitchen in a private home, such as a family daycare provider; or a bed and breakfast home that serves only a continental breakfast; or, (g) A private home that receives catered or home -delivered food. (FC) Food Item Tag means a label or placard that identifies any food item displayed for sale at a covered food establishment. Food Processing Plant means in addition to the definition set forth in FC 1- 20 1.10, the definition of Food Processing Operation in 105 CMR 500.000. Full Breakfast means a breakfast meal including foods other than those listed in 105 CMR 590.002, definition of "continental breakfast." Menu means a printed list or pictorial display of a food item or items and their price(s) that are available for sale from a covered food establishment, and includes menus distributed or provided outside of the establishment. Menu Board means any list or pictorial display of a food item or items and their price(s) posted within or outside a covered food establishment. Menu Item means any individual food item, or combination of food items, listed or displayed on a menu board or menu, or identified with a food item tag that is/are sold by a covered food establishment. Misbranded Food means the definition in M.G.L. c. 94, § 187. Residential Kitchen means a kitchen in a private home. Risk Factors (1) Risk Factors mean improper practices or procedures, which have been identified by the Centers for Disease Control and Prevention (CDC), through epidemiological data as the most prevalent contributing factors of foodborne illness or injury. (2) Risk Factors include: 105 CMR — 3578 Alzheimer's Association letter of support alzheimer's % associations Lisa Orgettas Executive Director Spectrum Adult Day Health Dear Lisa, We are writing in support of Spectrum Adult Day Health's application to open an adult day health program, with a focus on dementia care. We need more dementia specific adult day programs in the Commonwealth, particularly in the North Shore, and while we do not certify any programs, we are pleased with Spectrum's track record. The benefits of adult day health care programs are many fold, including: • Providing vital structure and socialization to the participant with dementia • Allowing participants to experience therapeutic physical and cognitive exercises • Providing a sense of community and purposefulness, all within a secure and safe environment • Enabling participants to access community based "skilled services" such as nursing, medication assistance, assistance with ADLs, nutrition, etc. • Providing critical respite for caregivers and also education and support to families. We know that families who are able to access quality ADHC programs, such as that offered by Spectrum, are often able to keep their loved one home longer, delaying admission into a care facility. As I said earlier, there are not enough programs currently in the Commonwealth and the demand for quality ADHC will only grow in the coming years. We urge approval of Spectrum's application for a new ADHC site in North Andover. Sincerely, James Wessler President and CEO Alzheimer's Association, MA/NH Chapter Building Exterior Elevations -hh. .--- BAYSTA� ScW, I N—ki— D- 07,W:07A402 GFM D—. 13): PI'W General Contractors P -j— 1812, 1820-1830 Turnpike Street North Andover, MA Rr,,Jcd No: 2738." 325N.rIhNf6,SI— WB Middk— MA 0190 J I= 1' � \ Y n A ' y r. � r Y _ , ' C � �l \•T t Y � `'�' \ S: ''A'.iiC.`, . w♦ if. 111 :.• IY �i.�'~',� ,.. _ Owner: Project: 3D VIEW OF SIGN f STONEWALL PLAZA, LLC. STONEWALL PLAZA _ I 325 NORTH MAIN STREET 1820 1830 TURNPIKE ST. Project number SW G. SIGN UNIT 15 t3 MIDDLETON, MA 01949 NORTH ANDOVER, MA Date 9/1512009 A732 --- Drawn by MR Checked by . Scale 10119/2009 5:14:49 PM N 9 a ail Irl TEM4T SIGN - 1 a. • Ul TEI�Ni' :�Ba a�I TEI�A�I'i' SIGN TENANT SIGN � TENANT SIGN TENANT SIGN TENANT SIGN TENANT SIGN ENACT SINN _I. , l� 2 0" _.. 7' - 8" — I 2'-0" 11'•8" SIGN OVERALL SIZE: 11'-4" X 11'-8" = 132 S.F. TWO SIDED SIGN. (IDENTICAL) TENANT SIGNAGE MAY VARY. 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